DR. MARK ALAN IMMERGUT MD NPI 1770540056

NPI Information

DR. Mark Alan Immergut, MD is an urology in Rockville, MD. The provider is 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. DR. Mark Alan Immergut, MD NPI is 1770540056. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6000 EXECUTIVE BLVD
SUITE 300
ROCKVILLE, MD
ZIP 20852-803
Phone: (301) 468-8999

The enumeration date for this NPI number is 4/28/2006 and was last updated on 4/26/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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