Organization
CHARLES C REEL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA M FERRIS (OFFICE MANAGER)
(301) 290-0395
Entity
Organization
Contact information
Practice address
30065 BUSINESS CENTER DR, CHARLOTTE HALL, MD 20622-3195
(301) 290-0395
(301) 290-0396
Mailing address
PO BOX 290, CHARLOTTE HALL, MD 20622-0290
(301) 290-0395
(301) 290-0396
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D0044697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04758-1500
—
MD
Enumeration date
10/12/2007
Last updated
09/15/2021
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