person
Dr. Mark Joel Illuminati, MD
General Practice Physician in Baltimore, Maryland
NPI 1518077320

Mark Joel Illuminati is a General Practice Physician based in Baltimore, MD. Mark Joel Illuminati practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Mark Joel Illuminati is 1518077320 and holds a License No. D35832 (Maryland).

The current practice location address for Mark Joel Illuminati is 1212 Shore Rd, Baltimore, MD and can be reached out via phone at 410-780-3972. You can also correspond with Mark Joel Illuminati through the mailing address at 1212 SHORE RD, BALTIMORE, MD - 21220-5526 (mailing address contact number: 410-780-3972).

Location: 1212 Shore Rd, Baltimore, MD, 21220-5526
person
Provider Profile Details
NPI Number
1518077320
Provider Name
Mark Joel Illuminati
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1212 Shore Rd, Baltimore, MD, 21220-5526
Phone Number
410-780-3972
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1212 Shore Rd
City
State
Zip
21220-5526
Phone Number
410-780-3972
Fax Number
person
Provider Business Mailing Address Details
Address
1212 Shore Rd
City
State
Zip
21220-5526
Phone Number
410-780-3972
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
D35832 (Maryland)
Definition
Definition to come...
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