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Individual

MARK SCARUPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11002 VEIRS MILL RD, 414, WHEATON, MD 20902-2574
(301) 962-1605
Mailing address
11002 VEIRS MILL RD, 414, WHEATON, MD 20902-2574
(301) 962-1605

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D61301
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02-00863
UNITED HEALTHCARE
MD
01
2133588
MAMSI
MD
01
247132
KAISER
MD
01
695044
NCPPO
MD
01
7828646
AETNA
MD
01
C4540007
CAREFIRST NCA
MD
Enumeration date
07/07/2006
Last updated
10/23/2007
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