Individual
CHARLES N. LANDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5100
(434) 982-1840
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
0101256844
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00572712
—
MS
01
—
051598996
BCBS
AL
01
—
051598998
BCBS
AL
01
—
051599000
BCBS
AL
01
—
051599001
BCBS
AL
01
—
051599004
BCBS
AL
05
—
111035
—
AL
05
—
111036
—
AL
05
—
111039
—
AL
05
—
111046
—
AL
05
—
111051
—
AL
05
—
130391
—
AL
05
—
174654701
—
TX
Enumeration date
11/20/2006
Last updated
08/10/2023
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