# CENTER FOR HEALTHY LIVING OF MARYLAND

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336462787
- **Authorized official:** LLOYD M CHARLES JR. M.D. (PRESIDENT)
- **Authorized official phone:** (301) 856-3004

## Contact information

- **Practice address:** 9662 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
- **Practice address phone:** (301) 856-3004
- **Practice address fax:** (240) 269-0081
- **Mailing address:** 9662 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
- **Mailing address phone:** (301) 856-3004
- **Mailing address fax:** (240) 269-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | D0035602 | MD | Yes |

## Other

- **Enumeration date:** 03/12/2010
- **Last updated:** 03/12/2010