Duncan, Mark Douglas

Duncan, Mark Douglas is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Duncan, Mark Douglas can be contacted via phone (410) 550-0400.

Contact Information

Primary practice address
4940 Eastern Ave Baltimore MD 21224-2735
Phone: (410) 550-0400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X D51208 Maryland

Profile Details

NPI number 1225079593
LBN Legal business name Duncan, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 6th, 2013 - about 12 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 1225079593 NPPES
Maryland MEDICAID 530900000

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