Mark J. Mittenthal in Lawrenceville - Vascular Surgery
Mark J. Mittenthal - NPI 1598739559
Mark J. Mittenthal is a Vascular Surgery in Lawrenceville, Georgia. Mark J. Mittenthal practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark J. Mittenthal is 1598739559. The last update date is 2011-08-23.
Mark J. Mittenthal's current location address is 1838 American Way, Lawrenceville, Georgia. You can contact this provider via phone number 7709957622 and fax number 7709957854. The mailing address for Mark J. Mittenthal is 1838 American Way, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Mittenthal |
|---|---|
| Address | 1838 American Way, Lawrenceville, Georgia |
| Phone Number | 7709957622 |
| Fax Number | 7709957854 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1598739559 |
|---|---|
| Provider Enumeration Date | 2006-02-15 |
| Last Updated Date | 2011-08-23 |
Provider Mailing Address Detail
| Address | 1838 American Way |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300436611 |
| Phone Number | 7709957622 |
| Fax Number | 7709957854 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 17864 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 206005 | GA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark J. Mittenthal by the Centers for Medicare & Medicaid Services?
The Mark J. Mittenthal has been assigned the NPI (National Provider Identifier) 1598739559. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark J. Mittenthal is physically located?
The Mark J. Mittenthal is physically situated at the following address: 1838 American Way, Lawrenceville, GA, 300436611.
What is Mark J. Mittenthal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark J. Mittenthal is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
When was the Mark J. Mittenthal's 1598739559 issued?
The Mark J. Mittenthal's 1598739559 was issued on 2006-02-15.
As of what date were the details pertaining to Mark J. Mittenthal last refreshed?
The information related to the Mark J. Mittenthal, including its address, specialty, and other relevant details, was last updated on 2011-08-23.