Individual
DR. MARK A REISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9105 FRANKLIN SQUARE DR, SUITE 318, BALTIMORE, MD 21237-3930
(410) 687-4405
(410) 687-0586
Mailing address
9601 PULASKI PARK DR, SUITE 416, BALTIMORE, MD 21220-1409
(410) 933-5678
(410) 933-3923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0022088
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
D0022088
MD
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
DD0022088
MD
208VP0000X
Pain Medicine Physician
D0022088
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348490
CAREFIRST
MD
01
—
971035
CAQH
MD
Enumeration date
11/22/2005
Last updated
09/04/2014
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