Individual
MARK F VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1703 S BROAD ST, SUITE 300, PHILADELPHIA, PA 19148
(215) 463-5333
(215) 463-8085
Mailing address
207 N BROAD ST, 3RD FLR., PHILADELPHIA, PA 19107-1500
(267) 479-4142
(215) 463-3820
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD019607E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000996145
—
PA
Enumeration date
02/14/2006
Last updated
05/23/2018
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