Individual
DR. CHARLES E ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1293
Mailing address
1604 LOCKSLEY DR, ANNAPOLIS, MD 21401-6429
(410) 849-2577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
D0061414
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405258700
—
MD
Enumeration date
06/08/2006
Last updated
02/17/2014
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