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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK MITTELMAN, M.D.

Active

MARK MITTELMAN, M.D. is a Therapeutic Radiology healthcare provider located in CLYDE, North Carolina. NPI 1255338026 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · CLYDE, NC

Registration Details

NPI Number
1255338026
Provider Type
Individual
Gender
Male
NPI Issued
Jul 7, 2005 (20.921875816203 yrs)
Last Updated
Mar 7, 2023
Licenses
200300668 (NC)
200300668 (NC)
200300668 (NC)

Practice Information

Address
262 LEROY GEORGE DR
STE X
CLYDE, NC, 287217430
Browse NC providers · Browse ZIP 28721
Phone
8284528346
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology
Additional Specialty
Specialist
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.