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Individual

DR. CHARLES A WALCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.C.S.

Contact information

Practice address
255 NORTH 4TH STREET, SUITE 2, OAKLAND, MD 21550-1395
(301) 334-8282
(301) 334-8468
Mailing address
255 NORTH 4TH STREET, SUITE 2, OAKLAND, MD 21550-1395
(301) 334-8282
(301) 334-8468

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D47925
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001708716
MT. STATE BC/S
WV
01
0126344000
DPA
WV
01
020027593
RAILROAD MEDICARE
01
022247700
DC MEDICAID
DC
01
1395892
UMWA
05
205900200
MD
01
236009
PEIA/ALLIANCE
01
260066
BLACK LUNG
01
330396
TRIGON BC/S
01
413716
BC/S
PA
01
521113778
4 MOST
01
521113778001
CHAMPUS
01
521113778011
CIGNA
01
53574001
CAREFIRST BC/S
01
H814GA
BC/S
MD
01
S3300002
BLUE CHOICE
Enumeration date
09/22/2006
Last updated
02/10/2020
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