# CHARTER INTERNAL MEDICINE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1750492419
- **Authorized official:** RANDAL P RIESETT MD (PARTNER)
- **Authorized official phone:** (410) 910-2300

## Contact information

- **Practice address:** 2470 LONGSTONE LN STE I, MARRIOTTSVILLE, MD 21104-1523
- **Practice address phone:** (410) 910-2300
- **Practice address fax:** (410) 740-9134
- **Mailing address:** 2470 LONGSTONE LN STE I, MARRIOTTSVILLE, MD 21104-1523
- **Mailing address phone:** (410) 910-2300
- **Mailing address fax:** (410) 740-9134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 11/14/2017