Charter Ltc LLC
NPI #1861129819 in Salem, Massachusetts
Provider Information
- NPI Number
- 1861129819
- Entity Type
- Organization
- Organization Name
- Charter Ltc LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 1, 2022
- Last Updated
- Aug 1, 2022
Practice Location
- Address
- 55 HIGHLAND AVE STE 304
- City
- Salem
- State
- Massachusetts
- ZIP Code
- 01970-2100
- Phone
- (978) 354-4611
Authorized Official
- Name
- HANS C JEPPESEN III, MD
- Title
- OWNER
- Phone
- (978) 354-4611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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