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Mark Mittelman, MD
Specialist in Clyde, North Carolina
NPI 1255338026

Mark Mittelman is a Specialist based in Raleigh, NC. Mark Mittelman practices in Clyde, NC and has the professional credentials of MD. The NPI Number for Mark Mittelman is 1255338026 and holds a License No. 200300668 (North Carolina).

The current practice location address for Mark Mittelman is 262 Leroy George Dr, Clyde, NC and can be reached out via phone at 828-452-8346.

Location: 262 Leroy George Dr, Clyde, NC, 27616-4612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255338026
Provider Name
Mark Mittelman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
262 Leroy George Dr, Clyde, NC, 27616-4612
Phone Number
828-452-8346
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
89134MR 05 NC
institution
Provider Business Practice Location Address Details
Address
262 Leroy George Dr
City
Clyde
State
North Carolina
Zip
28721-7430
Phone Number
828-452-8346
Fax Number
person
Provider Business Mailing Address Details
Address
262 Leroy George Dr
City
Clyde
State
North Carolina
Zip
28721-7430
Phone Number
828-452-8346
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
200300668 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
200300668 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
200300668 (North Carolina)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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