Individual
DR. MARK DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 N CHARLES ST, TOWSON, MD 21204-6808
(410) 296-4616
(410) 337-5068
Mailing address
230 SCHILLING CIR, STE 170, HUNT VALLEY, MD 21031-1417
(410) 296-4616
(410) 337-5068
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D0050730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321674800
—
MD
01
—
D0050730
STATE LICENSE
MD
Enumeration date
08/16/2005
Last updated
10/09/2019
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