Charlson, Mark David

Charlson, Mark David is an individual health care provider with primary practice located at 192 Tilley Dr , South Burlington VT 05403-4440. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Foot and Ankle Surgery is his primary health care specialty. Charlson, Mark David can be contacted via phone (802) 847-2663.

Contact Information

Primary practice address
192 Tilley Dr South Burlington VT 05403-4440
Phone: (802) 847-2663
Fax: (802) 847-3797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 42-0011585 Vermont
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 200400468 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 42-0011585 Vermont

Profile Details

NPI number 1154374734
LBN Legal business name Charlson, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Sep 25th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154374734 NPPES
Vermont MEDICAID 1015272

Popular Providers