Provider Demographics
NPI:1801862867
Name:ROWE, DAVID MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARK
Last Name:ROWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3050 BERKMAR DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-3405
Mailing Address - Country:US
Mailing Address - Phone:434-244-0162
Mailing Address - Fax:434-244-0153
Practice Address - Street 1:3050 BERKMAR DR STE A
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-3405
Practice Address - Country:US
Practice Address - Phone:434-244-0162
Practice Address - Fax:434-244-0153
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101056240207ZD0900X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006607268Medicaid
VA006607268Medicaid
VA220000748Medicare PIN
VA220032088Medicare PIN