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1518077320
MARK JOEL ILLUMINATI
BALTIMORE, MD
NPI
1518077320
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: MD D35832)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Dr. MARK JOEL ILLUMINATI MD
1212 SHORE RD
BALTIMORE, MD 21220-5526
Phone number: 410-780-3972
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Mailing Address
Dr. MARK JOEL ILLUMINATI MD
1212 SHORE RD
BALTIMORE, MD 21220-5526
Phone number: 410-780-3972
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