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Individual

DR. CHARLES ANTHONY UMOSELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7625 WISCONSIN AVE STE 101, BETHESDA, MD 20814-6564
(301) 951-0420
(301) 657-5038
Mailing address
7625 WISCONSIN AVE STE 101, BETHESDA, MD 20814-6564
(301) 951-0420
(301) 657-5638

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101035615
VA
207Q00000X
Family Medicine Physician
Primary
D0030484
MD
207Q00000X
Family Medicine Physician
MD14489
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202
BCBS OF THE NATIONAL CAPI
01
110180692
MEDICARE RAILROAD
01
1462913
UNITED HEALTH CARE
01
215669156
CHAMPUS
05
383311900
MD
01
4088234
AETNA
01
42213304
BCBS OF MARYLAND
Enumeration date
12/13/2006
Last updated
12/11/2019
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