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Individual

MARK LEVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-8964
Mailing address
PO BOX 64474, BALTIMORE, MD 21264-4474
(410) 955-8964

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D52391
MD
207RX0202X
Medical Oncology Physician
Primary
D52391
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
425300100
MD
Enumeration date
06/15/2006
Last updated
02/11/2013
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