Dimino, Mark

Dimino, Mark is an individual health care provider with primary practice located at 110 S Paca St Suite 300 6Th Fl, Baltimore MD 21201-1642. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Dimino, Mark can be contacted via phone (410) 328-6720.

Contact Information

Primary practice address
110 S Paca St Suite 300 6Th Fl Baltimore MD 21201-1642
Fax: (410) 328-1674
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X D0059979 Maryland
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X D0059979 Maryland

Profile Details

NPI number 1124061072
LBN Legal business name Dimino, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Apr 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124061072 NPPES
Maryland Other CA8702 RAILROAD MEDICARE GROUP

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