MEDICARE: STEVEN EDWARD MARKS 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
1	208800000X	Urology Physician	C1-0012755	DE
2	208800000X	Urology Physician	0101036358	VA

General Provider Information

NPI Number	:	1982682084
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN EDWARD MARKS M.D.

Provider Business Mailing Address
First Line	:	856 J CLYDE MORRIS BLVD
Second Line	:	SUITE A
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23601-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 BROWN ST
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-4671
Country	:	US
Telephone Number	:	252-946-0136
Fax Number	:

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

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	12/29/2020

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Directions to “ STEVEN EDWARD MARKS M.D.” Practice Location

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