Individual
CHARLES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1675 WOODBROOKE DR, SALISBURY, MD 21804-8502
(410) 749-4154
(410) 860-9583
Mailing address
PO BOX 69709, BALTIMORE, MD 21264-9709
(410) 749-4154
(410) 860-9583
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C05576
MD
Other
Enumeration date
10/27/2014
Last updated
08/15/2025
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