Individual
DR. MARK EDWARD MAVITY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
11 MEDICAL GROUP, 238 BROOKLEY AVENUE, BOLLING AFB, DC 20332-0001
(202) 404-5866
Mailing address
9105 BRAMBLE PL, ANNANDALE, VA 22003-4015
(703) 764-1736
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
MD066025L
PA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD066025L
PA
Other
Enumeration date
08/10/2005
Last updated
09/11/2025
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