MARK JOEL ILLUMINATI

BALTIMORE, MD
NPI1518077320
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: MD  D35832)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Dr. MARK JOEL ILLUMINATI MD
1212 SHORE RD
BALTIMORE, MD 21220-5526
Phone number: 410-780-3972
Mailing Address
Dr. MARK JOEL ILLUMINATI MD
1212 SHORE RD
BALTIMORE, MD 21220-5526
Phone number: 410-780-3972
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