Individual
DR. JOHN L CHARLTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5013 ROLAND AVE, BALTIMORE, MD 21210-2220
(410) 433-1122
(410) 433-1122
Mailing address
5013 ROLAND AVE, BALTIMORE, MD 21210-2220
(410) 433-1122
(410) 433-1122
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01077
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090608500
—
MD
01
—
0974140002
ADMINISTER FED
—
01
—
52069802
BCBS
MD
01
—
T304JL
BS
MD
Enumeration date
09/16/2006
Last updated
08/30/2010
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