Doctor Name: | MARK ALLEN YOUNG |
NPI Number: | 1003927989 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD,MBA,FACP |
License Number: | M32803 |
Business Practice Address: | 5430 Campbell Blvd Suite 205 White Marsh, MD - 211625500 |
Business Phone Number: | 4109338800 |
Business Fax Number: | 4109338900 |
Mailing Address: | 5430 Campbell Blvd Ste 205, WHITE MARSH |
State: | MD |
Postal Code: | 211625504 |
Phone Number: | 4109338800 |
Fax Number: | 4109338900 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | M32803 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |