Charter Internal Medicine, LLC
NPI #1750492419 in Marriottsville, Maryland
Provider Information
- NPI Number
- 1750492419
- Entity Type
- Organization
- Organization Name
- Charter Internal Medicine, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Nov 14, 2017
Practice Location
- Address
- 2470 LONGSTONE LN STE I
- City
- Marriottsville
- State
- Maryland
- ZIP Code
- 21104-1523
- Phone
- (410) 910-2300
Authorized Official
- Name
- RANDAL P RIESETT, MD
- Title
- PARTNER
- Phone
- (410) 910-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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