Individual
MARK MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
(301) 373-7900
(301) 373-6900
Mailing address
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636-4871
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002563
MD
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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