Individual
MARK P. EID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1985 JEFFERSON DAVIS HWY, FREDERICKSBURG, VA 22401-5298
(540) 373-6647
(540) 479-1656
Mailing address
820 SPRINGER DR, LOMBARD, IL 60148-6413
(815) 744-8554
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
0101249163
VA
Other
Enumeration date
06/06/2007
Last updated
01/31/2022
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