Individual
CHARLES EDWARD MOUNT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 E NORTH AVE, SUITE 107, PITTSBURGH, PA 15212-4740
(412) 359-3367
(412) 359-5094
Mailing address
490 E NORTH AVE, SUITE 107, PITTSBURGH, PA 15212-4740
(412) 359-3367
(412) 359-5094
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD454052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13599301
CAQH
—
Enumeration date
06/28/2007
Last updated
01/11/2024
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