person
Dr. Mark Alan Immergut, MD
Urology Physician in Rockville, Maryland
NPI 1770540056

Mark Alan Immergut is a Urology Physician based in Rockville, MD. Mark Alan Immergut practices in Rockville, MD and has the professional credentials of MD. The NPI Number for Mark Alan Immergut is 1770540056 and holds a License No. D0008736 (Maryland).

The current practice location address for Mark Alan Immergut is 6000 Executive Blvd, Rockville, MD and can be reached out via phone at 301-468-8999.

Location: 6000 Executive Blvd, Rockville, MD, 20852-3803
person
Provider Profile Details
NPI Number
1770540056
Provider Name
Mark Alan Immergut
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6000 Executive Blvd, Rockville, MD, 20852-3803
Phone Number
301-468-8999
Fax Number
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
312564 01 MD OPTIMUM CHOICE PROVIDER #
V746 0014 01 DC BSDC
0715414 01 MD CIGNA PROVIDER NUMBER
521186611 01 MD UNITED HEALTHCARE PROV #
V746 0014 01 MD BSMD
312564 01 MD MDIPA PROVIDER NUMBER
312564 01 MD MAMSI PROVIDER NUMBER
312564 01 MD ALLIANCE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6000 Executive Blvd
City
State
Zip
20852-3803
Phone Number
301-468-8999
Fax Number
person
Provider Business Mailing Address Details
Address
6000 Executive Blvd
City
State
Zip
20852-3803
Phone Number
301-468-8999
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
D0008736 (Maryland)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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