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Individual

MARK N WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 N WOLFE ST, MEYER 6-1818, BALTIMORE, MD 21287-0005
(410) 502-7511
(410) 502-6737
Mailing address
PO BOX 64227, BALTIMORE, MD 21264-4227

Taxonomy

Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
D69620
MD
2084N0400X
Neurology Physician
Primary
D69620
MD
2084N0400X
Neurology Physician
MD426094
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024680800
MD
05
101332966
PA
Enumeration date
07/18/2006
Last updated
01/05/2013
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