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Individual

MARY J. LAUGHLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4 HOSPITAL DR, CHARLOTTESVILLE, VA 22908-0001
(800) 223-9173
(434) 243-0064
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
0101248077
VA
207RH0003X
Hematology & Oncology Physician
35-073914
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000224296
UNISON
OH
01
000000539581
ANTHEM
OH
01
1051998
AETNA
OH
05
2092435
OH
01
363743
WELLCARE
OH
01
741826
BUCKEYE
OH
01
P00123745
RAILROAD MEDICARE
OH
Enumeration date
07/19/2006
Last updated
07/23/2010
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