Dr. Mark Edward Mavity, MD, MPH
Preventive Medicine, Public Health & General Preventive Medicine in Bolling Afb, DC. Individual provider (NPI-1).
NPI number1841291937
StatusActive
Last updated in NPPESJul 13, 2026
Details
- NPI
- 1841291937
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Edward Mavity
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2005
- Last updated
- Jul 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | MD066025L | PA | Yes |
| 2083A0100X | Preventive Medicine, Aerospace Medicine | MD066025L | PA |
Practice location
11 Medical Group238 Brookley Avenue
Bolling Afb, DC 20332-0001
Phone 202-404-5866
Mailing address
9105 Bramble PlAnnandale, VA 22003-4015
Phone 703-764-1736
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