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General NPI Number Information
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NPI Number | 1770573388
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Entity Type | Individual
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Provider Name | ALEXANDER S. MARK M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2005
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 3202 TOWER OAKS BLVD UNIT 120
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City | ROCKVILLE
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State | MD
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Zip | 20852-4219
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Country | US
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Telephone | 301-657-2444
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Fax | 301-657-2450
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Provider Business Mailing Address
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Address Line | PO BOX 1085
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City | LIMA
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State | OH
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Zip | 45802-1085
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Country | US
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Telephone | 844-466-5613
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Fax | 419-223-2726
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C1-0008339
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD17472
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 0101045431
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D40414
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License Number State | MD
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