Individual
DR. MARC A MUGMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 N CALVERT ST, STE 500, BALTIMORE, MD 21218-2867
(410) 366-5600
(410) 889-4952
Mailing address
1838 GREENE TREE RD, SUITE 150, BALTIMORE, MD 21208
(410) 602-9262
(410) 602-9276
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0017225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
968391700
—
MD
Enumeration date
09/02/2005
Last updated
08/30/2010
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