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Organization
CHARM CITY PRIMARY CARE, LLC
Active
Organization
CHARM CITY PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVESH DHRUVA KANJARPANE MD MPH FACPM FACOEM (CHIEF MEDICAL OFFICER (CMO))
(301) 675-1296
Entity
Organization
Contact information
Practice address
2220 REISTERSTOWN RD, BALTIMORE, MD 21217-1928
(301) 675-1296
(443) 535-0773
Mailing address
6041 WINTER GRAIN PATH, STE #1F, CLARKSVILLE, MD 21029-1224
(301) 675-1296
(443) 535-0773
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
D0040076
MD
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
06/13/2024
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