Individual
DR. CHARLES P WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6569 N CHARLES ST, SUITE 505, BALTIMORE, MD 21204-6831
(443) 849-2196
(443) 849-2648
Mailing address
PO BOX 418953, BOSTON, MA 02241-8953
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D09821
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712L8765YBG
MEDICARE PIN
MD
05
—
755691800
—
MD
01
—
KJ54GB-52570101
CAREFIRST OF MARYLAND GBM
MD
01
—
S1410002
CAREFIRST REGIONAL GBMC
MD
Enumeration date
07/09/2006
Last updated
08/15/2019
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