Provider Demographics
NPI:1194790741
Name:HONIG, MARK PIETER (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:PIETER
Last Name:HONIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 CRYSTAL LAKE CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-3848
Mailing Address - Country:US
Mailing Address - Phone:757-417-3976
Mailing Address - Fax:
Practice Address - Street 1:NAVAL MEDICAL CENTER, PORTSMOUTH
Practice Address - Street 2:3 EFFINGHAM STREET
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23708
Practice Address - Country:US
Practice Address - Phone:757-953-2883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101223147208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery