NPI 1124058342

Mark R Bladergroen, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Richmond, VA

Practice location

Address: 5875 Bremo Rd Suite G-5, Richmond, VA 23226-1934
Phone: (804) 287-7840
Fax: (804) 287-7845

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 0101042193 (VA)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Virginia →

Registry record

NPI: 1124058342
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jul 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.