Individual
DR. MARK ALLEN SAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHYSICIAN AND SUR
Contact information
Practice address
12502 WILLOWBROOK RD, SUITE 280, CUMBERLAND, MD 21502-6393
(240) 964-8750
(240) 964-8699
Mailing address
12502 WILLOWBROOK RD, SUITE 280, CUMBERLAND, MD 21502-6393
(240) 964-8750
(240) 964-8699
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
D0035481
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
567B 420267-02
CAREFIRST OF MARYLAND
MD
05
—
774141301
—
MD
01
—
K307-0012
GHSMI
DC
Enumeration date
04/06/2006
Last updated
06/04/2010
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