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. You can also correspond with Mark Alan Immergut through the mailing address at 6000 EXECUTIVE BLVD, ROCKVILLE, MD - 20852-3803 (mailing address contact number: 301-468-8999).
| 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 |
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