Individual
DR. CHARLES JACKSON VANMETER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
63 THOMAS JOHNSON DR, STE A, FREDERICK, MD 21702-4301
(301) 663-0400
(301) 663-1906
Mailing address
63 THOMAS JOHNSON DR, STE A, FREDERICK, MD 21702-4301
(301) 663-0400
(301) 663-1906
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
D26357
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1210001
BSDC
MD
01
—
KC81WA
BSMD
MD
Enumeration date
03/24/2006
Last updated
07/08/2007
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