Search › Maryland › 208D00000X
Mark Illuminati, MD
NPI 1518077320 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1212 Shore Rd
Baltimore, MD 21220 - Phone
- (410) 780-3972
Registry record
- Primary taxonomy
- 208D00000X
208D00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland