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Individual

DAHLIA CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
19535 NEWBERRY TER UNIT 202, LEESBURG, VA 20176-1201
(571) 331-2881
Mailing address
19535 NEWBERRY TER UNIT 202, LEESBURG, VA 20176-1201
(571) 331-2881

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219758
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02161131
NY
Enumeration date
09/29/2006
Last updated
07/08/2011
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