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Individual
MICHAEL ROBERT CHARLEY
Active
Individual
MICHAEL ROBERT CHARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD040066E
PA
207R00000X
Internal Medicine Physician
Primary
MD040066E
PA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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