Provider Demographics
NPI:1043377880
Name:EIG, MARK HERSHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:HERSHEL
Last Name:EIG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10801 LOCKWOOD DR
Mailing Address - Street 2:STE 280
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1556
Mailing Address - Country:US
Mailing Address - Phone:301-592-1220
Mailing Address - Fax:301-592-0440
Practice Address - Street 1:10801 LOCKWOOD DR
Practice Address - Street 2:STE 280
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-1556
Practice Address - Country:US
Practice Address - Phone:301-592-1220
Practice Address - Fax:301-592-0440
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2008-05-07
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Provider Licenses
StateLicense IDTaxonomies
MDD024886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD491114Medicare PIN
MDB94804Medicare UPIN