Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DAVID CHARLSON, MD
ActiveDR. MARK DAVID CHARLSON, MD is a Sports Medicine (Orthopaedic) healthcare provider located in SOUTH BURLINGTON, Vermont. NPI 1154374734 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · SOUTH BURLINGTON, VT
Registration Details
- NPI Number
- 1154374734
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (20.261981729252 yrs)
- Last Updated
- Sep 25, 2012
- Licenses
-
42-0011585 (VT)200400468 (NC)42-0011585 (VT)
Practice Information
- Address
-
192 TILLEY DRSOUTH BURLINGTON, VT, 054034440Browse VT providers · Browse ZIP 05403
- Phone
- 8028472663
- Fax
- 8028473797
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XX0004X
- Additional Specialty
- Orthopaedic Surgery
- Additional Specialty
- Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.