Provider Demographics
NPI:1295723146
Name:GLOGER, MARK STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:STEVEN
Last Name:GLOGER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12510 PROSPERITY DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1663
Mailing Address - Country:US
Mailing Address - Phone:240-485-5200
Mailing Address - Fax:301-625-6906
Practice Address - Street 1:9711 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 308
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3323
Practice Address - Country:US
Practice Address - Phone:301-251-1244
Practice Address - Fax:301-340-9360
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-07-11
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Provider Licenses
StateLicense IDTaxonomies
MDD0044580207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD358651100Medicaid
DC742872B21Medicare PIN
MD133216ZAOHMedicare PIN
MD358651100Medicaid