Mark Joseph Yacyk
Pain Medicine
11110 Medical Campus Rd Suite 205
Hagerstown
, Maryland 21742-6700
Mark Joseph Yacyk
Pain Medicine
11110 Medical Campus Rd Suite 205
Hagerstown
, Maryland 21742-6700
(301) 665-4956
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Mark Joseph Yacyk
- 11110 Medical Campus Rd Suite 205
- Hagerstown, MD
- Zip : 21742-6700
- Fax : (301) 665-4956
- Phone : (301) 665-4950
Second Address
- Mark Joseph Yacyk
- 11110 Medical Campus Rd Suite 205
- Hagerstown, MD
- Zip : 21742-6700
- Fax : (301) 665-4956
- Phone : (301) 665-4950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | H0046108 | MD |
National Provider Identifier
| NPI | 1245224401 |
|---|---|
| Provider Name | Mark Joseph Yacyk |
| First Address | Hagerstown, MD 21742-6700 |
| Second Address | Hagerstown, MD 21742-6700 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 10/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 282871500 | (05) | MD |
| F87737 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.