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Organization

CHARLES EMERGENCY PHYSICIANS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN M WOGAN M.D. (MEDICAL DIRECTOR)
(443) 849-2225
Entity
Organization

Contact information

Practice address
6701 N CHARLES ST, BALTIMORE, MD 21204-6808
(443) 849-2225
(443) 849-3094
Mailing address
PO BOX 42934, PHILADELPHIA, PA 19101-2934
(800) 355-0808
(610) 834-2862

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N/A

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J875
BLUE SHIELD/FEP
DC
01
O-K647-CH-90
BLUE SHIELD
MD
Enumeration date
05/26/2006
Last updated
04/20/2008
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