MEDICARE: DR. MARK E SCHUTZ MD

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
1	207L00000X	Anesthesiology Physician	D0029034	MD

General Provider Information

NPI Number	:	1033196779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARK E SCHUTZ MD

Provider Business Mailing Address
First Line	:	PO BOX 79416
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21279-0416
Country	:	US
Telephone Number	:	240-355-6200
Fax Number	:	301-320-0374

Provider Business Practice Location Address
First Line	:	5110 RIDGEFIELD RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20816-3346
Country	:	US
Telephone Number	:	301-652-7130
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2005
Last Update Date	:	07/08/2007

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