Individual
MR. ALEXANDER MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, BLALOCK 618, BALTIMORE, MD 21287-0005
(410) 955-2698
Mailing address
16 WOOD RAVEN CT, PARKVILLE, MD 21234-1456
(443) 850-8790
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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