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Individual

MARK PHILIP CHELTENHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2007-00205
NC
2084P0800X
Psychiatry Physician
MD425741
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2007-00205
STATE LICENSE
NC
01
58606
BOARD CERTIFICATION ABPN
05
5911546
NC
01
MD425741
LICENSE NUMBER
PA
Enumeration date
09/25/2006
Last updated
08/04/2026
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