Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D58303 | MD |
N | 111NI0900X | Internist | D58303 | MD |
Y | 207RG0300X | Geriatric Medicine | D58303 | MD |
N | 207RH0002X | Hospice and Palliative Medicine | D58303 | MD |
NPI | 1174549240 |
---|---|
Provider Name | Dr. Aaron J Charles |
First Address | Boston, MA 02241-8953 |
Second Address | Baltimore, MD 21204-6808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 04/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
510409200 | (05) | MD |
H37766 | (02) | |
KJ15-61709505 | CAREFIRST MARYLAND (01) | MD |
S1380056 | CAREFIRST REGIONAL (01) | MD |