Individual
MARK MENDELSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2955 IVY RD, SUITE 303, CHARLOTTESVILLE, VA 22903-9353
(434) 980-6555
(434) 293-5800
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101054262
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104995737
—
VA
Enumeration date
11/07/2006
Last updated
06/17/2011
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