Wurm, Alex Mark
Wurm, Alex Mark is an individual health care provider with primary practice located at 194 Thomas Johnson Dr , Frederick MD 21702-4679. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Wurm, Alex Mark can be contacted via phone (240) 215-6310.Contact Information
Primary practice address
194 Thomas Johnson Dr
Frederick MD 21702-4679
Phone: (240) 215-6310
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D0069210 | Maryland |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | A103180 | California |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | D0069210 | Maryland |
Profile Details
NPI number | 1558508887 |
---|---|
LBN Legal business name | Wurm, Alex Mark |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2009 |
Last updated | Aug 11th, 2022 - about 2 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 | 1558508887 | NPPES |
Maryland | MEDICAID | 023874100 |
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