Organization
CENTER FOR HEALTHY LIVING OF MARYLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD M CHARLES JR. M.D. (PRESIDENT)
(301) 856-3004
Entity
Organization
Contact information
Practice address
9662 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 856-3004
(240) 269-0081
Mailing address
9662 PENNSYLVANIA AVE, UPPER MARLBORO, MD 20772-3670
(301) 856-3004
(240) 269-0081
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
D0035602
MD
Other
Enumeration date
03/12/2010
Last updated
03/12/2010
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