Doctor Name: | DR. MARK PFAFF |
NPI Number: | 1194728469 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2334624 |
Business Practice Address: | 160 Railroad Ave Elkton, MD - 219215538 |
Business Phone Number: | 4109968686 |
Business Fax Number: | 4103988997 |
Mailing Address: | Po Box 190, ELKTON |
State: | MD |
Postal Code: | 219220190 |
Phone Number: | 4103984679 |
Fax Number: | 4106203686 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2334624 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |