NPI 1043099658

Charter Dermatology PLLC

Organisation Dermatology Physician Martinsburg, WV

Practice location

Address: 1008 Tavern Rd STE 201, Martinsburg, WV 25401-2859
Phone: (301) 693-3336
Mailing address: 1800 Latigo CT, Frederick, MD 21702-5507

Authorised official

Name: Suresh Kumar Menon
Title: Physician Partner
Phone: (301) 693-3336

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

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Allopathic & Osteopathic Physicians Taxonomy 207ND0900X

Registry record

NPI: 1043099658
Entity type: Organization
NPI issued: 22 Sep 2023
Record last updated: 6 Mar 2024

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.