Mark Sivieri M.d. P.a.

NPI #1255337002 in Columbia, Maryland

Provider Information

NPI Number: 1255337002
Entity Type: Organization
Organization Name: Mark Sivieri M.d. P.a.
Primary Specialty: Family Medicine
Enumeration Date: Jun 27, 2005
Last Updated: Oct 18, 2013

Practice Location

Address: 10005 OLD COLUMBIA RD
Address 2: SUITE P170
City: Columbia
State: Maryland
ZIP Code: 21046-1702
Phone: (410) 312-5280

Authorized Official

Name: MS. LYNN MARIE DUDLEY, PA-C
Title: OFFICE MANAGER
Phone: (410) 312-5280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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