Individual
MR. CHARLES N. BETHMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
115 SALLITT DR, SUITE E, STEVENSVILLE, MD 21666-2156
(410) 643-7800
(410) 643-7568
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
010207M14
MD
Other
Enumeration date
08/02/2005
Last updated
01/19/2011
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