Individual
JOHN M WALLMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9707 MEDICAL CENTER DR, SUITE 300, ROCKVILLE, MD 20850-3348
(301) 424-6231
(301) 294-4648
Mailing address
9707 MEDICAL CENTER DR, SUITE 300, ROCKVILLE, MD 20850-3348
(301) 424-6231
(301) 294-4648
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
D0053177
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40453510
—
MD
Enumeration date
10/18/2006
Last updated
08/01/2012
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