Individual
MR. CHARLES NOBLE LEDNUM III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
400 MARYLAND AVE STE 1, CAMBRIDGE, MD 21613-1928
(410) 228-1676
(410) 228-7464
Mailing address
400 MARYLAND AVE STE 1, CAMBRIDGE, MD 21613-1928
(410) 228-1676
(410) 228-7464
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
02-0000132
DE
231H00000X
Audiologist
2201001234
VA
237600000X
Audiologist-Hearing Aid Fitter
Primary
01025
MD
237600000X
Audiologist-Hearing Aid Fitter
2101 001488
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J207-00-01
CAREFIRST BLUECHOICE
MD
Enumeration date
04/01/2006
Last updated
10/10/2016
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