Individual
CHARLES ANGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10755 FALLS RD, SUITE 200, LUTHERVILLE, MD 21093-4515
(410) 583-7114
(410) 583-7128
Mailing address
PO BOX 64250, BALTIMORE, MD 21264-4250
(410) 955-5434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0012405
MD
207RC0000X
Cardiovascular Disease Physician
Primary
D12405
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712181400
—
MD
Enumeration date
08/10/2005
Last updated
02/22/2013
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