Wild, Mark J
Wild, Mark J is an individual health care provider with primary practice located at 2 North Ave Ste 101, Bel Air MD 21014-2303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wild, Mark J can be contacted via phone (410) 838-6434.Contact Information
Primary practice address
2 North Ave Ste 101
Bel Air MD 21014-2303
Phone: (410) 838-6434
Fax: (410) 838-4250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | D35522 | Maryland |
Profile Details
| NPI number | 1679578207 |
|---|---|
| LBN Legal business name | Wild, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Dec 10th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679578207 | NPPES |
| Maryland | MEDICAID | 778171700 |
Popular Providers
-
Abhyankar, Vijay
2 North Ave Ste 101, Bel Air MD 21014-2303 -
Gao, Qinglin
500 Upper Chesapeake Dr , Bel Air MD 21014-4324 -
White, Lawrence D
615 W Macphail Rd Ste 206, Bel Air MD 21014-4305 -
Sparandero, Frank
1032 Barrymore Dr , Bel Air MD 21014-6915 -
Smith, Robert L
2 North Ave Suite 101, Bel Air MD 21014-2303 -
Lynch, John Kevin
31 E Lee St , Bel Air MD 21014-3587 -
Mahmood, Syed Farid
2227 Old Emmorton Rd Suite 212, Bel Air MD 21015-6189 -
Osman, Ann Katherine
520 Upper Chesapeake Dr Ste 211, Bel Air MD 21014-4392