Individual
CHARLES EGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 TAYLOR AVENUE, SUITE 304, TOWSON, MD 21286
(410) 616-9679
(410) 616-9687
Mailing address
1055 TAYLOR AVENUE, SUITE 304, TOWSON, MD 21286
(410) 616-9679
(410) 616-9687
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
R3088
MD
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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