Individual
DR. CHARLES FREDERICK DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3311 TOLEDO RD, ROOM 4217, HYATTSVILLE, MD 20782-2064
(301) 458-4685
(301) 458-4028
Mailing address
3311 TOLEDO RD, ROOM 4217, HYATTSVILLE, MD 20782-2064
(301) 458-4685
(301) 458-4028
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49642
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49642
MEDICAL LICENSE NUMBER
MA
Enumeration date
01/09/2007
Last updated
07/08/2007
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