Mark Mumford Polanshek
M.D. | Pediatric Adolescent Medicine | Male
Mark Mumford Polanshek, M.D. is a Chester, Virginia based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Mark Mumford Polanshek is
4707 Buckingham Ct, Chester, Virginia - 23831-4261. He can be contacted on phone at
804-796-2300 and fax number 804-751-4815.
Mark Mumford Polanshek is a sole proprietor of his business.
NPI number (Unique professional ID) for Mark Mumford Polanshek is
1356473847 which was assigned by NPPES on 10 Mar, 2007 and it was last updated on 08 Jul, 2007.
Mark Mumford Polanshek license number is
0101041167 for Pediatrics Adolescent Medicine (2080A0000X) in Virginia.
Mark Mumford Polanshek specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Mark Mumford Polanshek basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Mark Mumford Polanshek |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Mark Mumford Polanshek address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4707 Buckingham Ct
Chester, VA, 23831-4261
United States |
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| Phone Number : | 804-796-2300 |
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| Fax Number : | 804-751-4815 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356473847 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Mar, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark Mumford Polanshek are as mentioned. Primary taxonomy code for Mark Mumford Polanshek, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 0101041167 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Mark Mumford Polanshek such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 6702481 | MEDICAID | VA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4707 Buckingham Ct
Chester, VA, 23831-4261
United States |
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| Phone Number : | 804-796-2300 |
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| Fax Number : | 804-751-4815 |
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Business Location:
Patients can refer following map for directions to
Mark Mumford Polanshek practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.