Organization
CHARTER INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDAL P RIESETT MD (PARTNER)
(410) 910-2300
Entity
Organization
Contact information
Practice address
2470 LONGSTONE LN STE I, MARRIOTTSVILLE, MD 21104-1523
(410) 910-2300
(410) 740-9134
Mailing address
2470 LONGSTONE LN STE I, MARRIOTTSVILLE, MD 21104-1523
(410) 910-2300
(410) 740-9134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
11/14/2017
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