Individual
PAUL V. TARGONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1222 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3410
(434) 924-1931
(434) 244-4451
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255756
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110222467
MEDICARE RAILROAD
MN
05
—
955518800
—
MN
Enumeration date
12/27/2005
Last updated
11/03/2020
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