Organization
CHARELNE A. LETCHFORD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE LETCHFORD MD (OWNER)
(301) 392-1935
Entity
Organization
Contact information
Practice address
115 LA GRANGE AVE, SUITE 101, LA PLATA, MD 20646-9592
(301) 392-1935
(301) 392-1936
Mailing address
115 LA GRANGE AVE, SUITE 101, LA PLATA, MD 20646-9592
(301) 392-1935
(301) 392-1936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D46419
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110163418
RAILROAD MEDICARE
MD
05
—
229251300
—
MD
Enumeration date
02/06/2009
Last updated
04/01/2009
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