Organization
CHARTER LTC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANS C JEPPESEN III MD (OWNER)
(978) 354-4611
Entity
Organization
Contact information
Practice address
55 HIGHLAND AVE STE 304, SALEM, MA 01970-2100
(978) 354-4611
Mailing address
55 HIGHLAND AVE STE 304, SALEM, MA 01970-2100
(978) 354-4611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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