Mavity, Mark Edward

Mavity, Mark Edward is an individual health care provider with primary practice located at 11 Medical Group 238 Brookley Avenue, Bolling Afb DC 20332-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Aerospace Medicine is his primary health care specialty. Mavity, Mark Edward can be contacted via phone (202) 404-5866.

Contact Information

Primary practice address
11 Medical Group 238 Brookley Avenue Bolling Afb DC 20332-0001
Phone: (202) 404-5866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X MD066025L Pennsylvania
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD066025L Pennsylvania

Profile Details

NPI number 1841291937
LBN Legal business name Mavity, Mark Edward
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 8th, 2007 - about 18 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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