Individual
CHARLOTTE BARTRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 OLD COURT RD STE 301, PIKESVILLE, MD 21208-6417
(410) 653-0000
(410) 653-5531
Mailing address
4000 OLD COURT RD STE 301, PIKESVILLE, MD 21208-6417
(410) 653-0000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008208
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0008208
LICENSE
MD
Enumeration date
09/21/2021
Last updated
10/21/2021
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