Individual
MARK EUGENE UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
123 W GERMANTOWN PIKE, SUITE 2, EAST NORRITON, PA 19401-1382
(610) 278-7456
(610) 278-7457
Mailing address
3812 LISA LN, COLLEGEVILLE, PA 19426-3052
(610) 489-2164
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-240389-L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
035827
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0853638
HIGHMARK
PA
Enumeration date
08/10/2005
Last updated
08/09/2011
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