Individual
DR. MARK PASSAMONTI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5604
(912) 435-6569
Mailing address
9045 BEALE RD, BETHESDA, MD 20889-5634
(301) 400-1012
(301) 295-8963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053982
GA
Other
Enumeration date
10/11/2005
Last updated
12/07/2016
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