Organization
CHARLES F. WILSON, D.P.M., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES FREDERICK WILSON D.P.M. (CHAIRMAN)
(301) 384-7687
Entity
Organization
Contact information
Practice address
13100 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-3358
(301) 384-7687
(301) 236-4609
Mailing address
13100 NEW HAMPSHIRE AVE, SILVER SPRING, MD 20904-3358
(301) 384-7687
(301) 236-4609
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
644
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370458100
—
MD
Enumeration date
06/27/2008
Last updated
08/21/2008
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