Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | D0002512 | MD |
N | 207RI0011X | Interventional Cardiology | D0002512 | MD |
NPI | 1124060215 |
---|---|
Provider Name | Mark M Applefeld |
First Address | Baltimore, MD 21264-4075 |
Second Address | Baltimore, MD 21202-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 21/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
340101400 | (05) | MD |
B67111 | (02) | |
S185 / 0009 | BLUECHOICE (01) | MD |
S793 / 399395-02 | BC / BS OF MD (01) | MD |