Individual
MS. TERESA ROSE-MARIE MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
849 FAIRMONT AVENUE, SUITE 100A, TOWSON, MD 21286-2600
(410) 494-1369
(410) 494-2737
Mailing address
515 FAIRMOUNT AVE, SUITE 200, TOWSON, MD 21286-5466
(410) 494-1379
(410) 494-2737
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0077561
MD
Other
Enumeration date
01/09/2010
Last updated
12/26/2018
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