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Individual

CHARLES NJIT ENOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 CRAIN HWY S STE 201, GLEN BURNIE, MD 21061-6438
(410) 760-0098
Mailing address
1600 CRAIN HWY S STE 201, GLEN BURNIE, MD 21061-6438
(240) 593-5983

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F12200883
MD

Other

Enumeration date
01/14/2021
Last updated
12/09/2024
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