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Individual

MARK LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5501 HOPKINS BAYVIEW CIR, BALTIMORE, MD 21224-6821
(410) 550-5864
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264

Taxonomy

Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
D21394
MD
207RP1001X
Pulmonary Disease Physician
Primary
D21394
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
311561500
MD
Enumeration date
06/21/2006
Last updated
01/27/2010
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