DR. MARK JOEL ILLUMINATI MD NPI 1518077320

NPI Information

DR. Mark Joel Illuminati, MD is a general practice in Baltimore, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Mark Joel Illuminati, MD NPI is 1518077320. 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:

1212 SHORE RD
BALTIMORE, MD
ZIP 21220-526
Phone: (410) 780-3972

The enumeration date for this NPI number is 8/30/2006 and was last updated on 7/8/2007.

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:

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