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Contact Information

MARK D CHARLSON, MD
192 TILLEY DR
SOUTH BURLINGTON, VT05403-4440
 Phone: 802-847-2663
 Fax: 802-847-3797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK D CHARLSON · (Male)

NPI Number 1154374734
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 09/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200400468
  • VT License # 42-0011585
  • VT Medicaid 1015272
Hospital affiliation(s)
  • FLETCHER ALLEN HOSPITAL OF VERMONT - (Acute Care)
    111 COLCHESTER AVE
    BURLINGTON, VT 05401
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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