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Contact Information

MARK A RUSSELL
1221 LEE ST
CHARLOTTESVILLE, VA22908-0001
 Phone: 434-924-5115
 Fax: 434-244-4504
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for MARK A RUSSELL · (Male)

NPI Number 1982773529
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2006
Last updated 09/02/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101230382
Hospital affiliation(s)
  • UNIVERSITY OF VIRGINIA MEDICAL CENTER - (Acute Care)
    JEFFERSON PARK AVE
    CHARLOTTESVILLE, VA 22908
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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