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Individual

ERNEST E CHARLESWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12 ST PAUL DR STE 203, CHAMBERSBURG, PA 17201-1035
(717) 264-6511
(717) 264-1081
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD027138E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000947033
PA
01
102956
HIGHMARK BLUE SHIELD
PA
01
MD027138E
MEDICAL LICENSE NUMBER
PA
Enumeration date
06/23/2005
Last updated
03/04/2020
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