Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101044651 | VA |
NPI | 1679635874 |
---|---|
Provider Name | Mark F. Abel |
First Address | Charlottesville, VA 22906-9007 |
Second Address | Charlottesville, VA 22903-4977 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 27/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
6438539 | (05) | VA |
A93115 | (02) |