Charles J Supernavage in Hagerstown - Otolaryngology
Charles J Supernavage - NPI 1720080963
Charles J Supernavage is a Otolaryngology in Hagerstown, Maryland. Charles J Supernavage practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Charles J Supernavage is 1720080963. The last update date is 2015-08-10.
Charles J Supernavage's current location address is 1800 Dual Highway, Hagerstown, Maryland. You can contact this provider via phone number 3017390400 and fax number 3017390402. The mailing address for Charles J Supernavage is 1800 Dual Highway, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles J Supernavage |
|---|---|
| Address | 1800 Dual Highway, Hagerstown, Maryland |
| Phone Number | 3017390400 |
| Fax Number | 3017390402 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720080963 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2015-08-10 |
Provider Mailing Address Detail
| Address | 1800 Dual Highway |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 2174066020 |
| Phone Number | 3017390400 |
| Fax Number | 3017390402 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | D0026440 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36496001 | MD | CAREFIRST BLUE SHIELD ID | |
| 770413 | AETNA ID # | ||
| 314681200 | MD | -- | |
| 214080 | MD | MAMSI ID # |
Post Comment/ Review Below
What is the unique identifier code issued to Charles J Supernavage by the Centers for Medicare & Medicaid Services (CMS)?
The Charles J Supernavage has been assigned the NPI (National Provider Identifier) 1720080963. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Charles J Supernavage?
The Charles J Supernavage is situated at 1800 Dual Highway, in the city of Hagerstown, state of MD, with the zip code 2174066020.
What is Charles J Supernavage's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Charles J Supernavage's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did Charles J Supernavage receive its 1720080963 assignment from the Centers for Medicare & Medicaid Services?
The Charles J Supernavage was assigned its 1720080963 on 2005-06-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Charles J Supernavage most recently updated or refreshed?
The details pertaining to the Charles J Supernavage, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-10.