| Doctor Name: | DR. FRANK RUDOLF MARK |
| NPI Number: | 1871842708 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | D0014715 |
| Business Practice Address: | 12009 Viers Mill Rd, Apt 102 Wheaton, MD - 20906 |
| Business Phone Number: | 3012197725 |
| Business Fax Number: | |
| Mailing Address: | 12009 Viers Mill Rd, Apt 102, WHEATON |
| State: | MD |
| Postal Code: | 20906 |
| Phone Number: | 3012197725 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2012 |
| NPI Last Update Date: | 09/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | D0014715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |