Individual
CHARLES NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 LONG LN, APT 404, UPPER DARBY, PA 19082-3437
(484) 461-9531
Mailing address
1758 ALLENTOWN RD, #213, LANSDALE, PA 19446-4053
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD030646E
PA
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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