Individual
MARK THOMAS MATSUNAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10710 CHARTER DR, SUITE 240, COLUMBIA, MD 21044-3128
(410) 997-7246
(410) 997-7226
Mailing address
10710 CHARTER DR, SUITE 240, COLUMBIA, MD 21044-3128
(410) 997-7246
(410) 997-7226
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D0037907
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304411400
—
MD
Enumeration date
07/07/2005
Last updated
09/14/2011
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