Individual
CHARLES MYRON BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14090 HG TRUEMAN RD STE 2300-710, SOLOMONS, MD 20688-3151
(410) 449-6602
(410) 449-6605
Mailing address
14090 HG TRUEMAN RD STE 2300-710, SOLOMONS, MD 20688-3151
(410) 449-6602
(410) 449-6605
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0031563
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D0031563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
468871600
—
MD
Enumeration date
02/24/2006
Last updated
11/30/2018
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