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Individual

DR. CHARLES PATRICK CHAULK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 VALLEY LN, TOWSON, MD 21286-7311
(410) 828-8831
(410) 396-8457
Mailing address
622 VALLEY LN, TOWSON, MD 21286-7311
(410) 828-8831
(410) 396-8457

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
37179
MD
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
37179
MD

Other

Enumeration date
08/21/2013
Last updated
08/21/2013
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