# CHARLES KARESH NURSING HOME SERVICE

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

## Provider details

- **NPI number:** 1750672978
- **Authorized official:** DR. CHARLES W KARESH MD (PHYSICIAN)
- **Authorized official phone:** (240) 949-4886

## Contact information

- **Practice address:** 9701 VEIRS DR, ROCKVILLE, MD 20850-3414
- **Practice address phone:** (301) 482-0130
- **Mailing address:** 12154 DARNESTOWN RD, STE 625, GAITHERSBURG, MD 20878-2206
- **Mailing address phone:** (240) 949-4886
- **Mailing address fax:** (240) 252-5752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | D0021726 | MD | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011
