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NPI Code Detail

MEDICARE: PHILIP M MOUNT M.D.

MEDICARE: PHILIP M MOUNT M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianD0034081MD

General Provider Information

NPI Number : 1245299858
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP M MOUNT M.D.
Provider Business Mailing Address
First Line : 6 TREE FARM CT
Second Line :
City : GLEN ARM
State : MD
Zip : 21057-9110
Country : US
Telephone Number : 443-777-7202
Fax Number : 443-777-8237
Provider Business Practice Location Address
First Line : 9000 FRANKLIN SQUARE DR
Second Line : DEPARTMENT OF PATHOLOGY
City : ROSEDALE
State : MD
Zip : 21237-3901
Country : US
Telephone Number : 443-777-7197
Fax Number : 443-777-8237
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 07/08/2007

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Directions to “ PHILIP M MOUNT M.D.” Practice Location

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