Mittelman, Mark

Mittelman, Mark is an individual health care provider with primary practice located at 262 Leroy George Dr Ste X, Clyde NC 28721-7430. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mittelman, Mark can be contacted via phone (828) 452-8346.

Contact Information

Primary practice address
262 Leroy George Dr Ste X Clyde NC 28721-7430
Phone: (828) 452-8346
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 200300668 North Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 200300668 North Carolina
Other Service Providers / Specialist 174400000X 200300668 North Carolina

Profile Details

NPI number 1255338026
LBN Legal business name Mittelman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255338026 NPPES
North Carolina MEDICAID 89134MR

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