Individual
DR. MARK A FLANZENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5021 CRAIG RATH BLVD BLDG 4, MIDLOTHIAN, VA 23112-6243
(804) 592-5437
(804) 474-9071
Mailing address
5021 CRAIG RATH BLVD BLDG 4, MIDLOTHIAN, VA 23112-6243
(804) 592-5437
(804) 474-9071
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101047168
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5859433
—
VA
Enumeration date
07/28/2005
Last updated
02/17/2014
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