NPI 1356178859

Charm City Outpatient Treatment Level 1

Organisation Addiction Medicine (Preventive Medicine) Physician Baltimore, MD

Practice location

Address: 2220 Reisterstown Rd, Baltimore, MD 21217-1928
Phone: (301) 675-1296
Fax: (443) 535-0773
Mailing address: 6041 Winter Grain Path, Clarksville, MD 21029-1224

Authorised official

Name: Devesh Dhruva Kanjarpane
Title: Chief Medical Officer
Phone: (301) 646-3279

Registered specialties

Addiction Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083A0300X

Other Preventive Medicine providers in Maryland →

Registry record

NPI: 1356178859
Entity type: Organization
NPI issued: 18 Sep 2024
Record last updated: 18 Sep 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.