Individual
CHARLES CLIFTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9 SCHILLING RD STE 102, HUNT VALLEY, MD 21031-8611
(410) 771-9220
(410) 771-9301
Mailing address
9 SCHILLING RD STE C, HUNT VALLEY, MD 21031-1191
(410) 771-9220
(410) 771-9301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0095584
MD
207Q00000X
Family Medicine Physician
OS018289
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103131896
—
PA
05
—
H0095584
—
MD
Enumeration date
03/28/2013
Last updated
07/12/2023
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