Individual
MR. CHARLES M DILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
11237 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 681-6077
(301) 681-3798
Mailing address
11237 LOCKWOOD DR, SILVER SPRING, MD 20901-4554
(301) 681-6077
(301) 681-3798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14012
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187040
PHCS
MD
01
—
2425741
AETNA HMO
MD
01
—
24348
ALLIANCE/ MAMSI OC/ MDIPA
MD
01
—
4555721
AETNA PPO
MD
01
—
983524
IHP
MD
01
—
F369-0001
BCBS NCA
DC
01
—
J201
BCBS MD
MD
Enumeration date
08/07/2006
Last updated
07/08/2007
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