Charles J Supernavage, Md, Pc in Hagerstown - Otolaryngology
Charles J Supernavage, Md, Pc - NPI 1639337405
Charles J Supernavage, Md, Pc is a Otolaryngology in Hagerstown, Maryland. Charles J Supernavage, Md, Pc practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Charles J Supernavage, Md, Pc is 1639337405. The last update date is 2008-05-29.
Charles J Supernavage, Md, Pc's current location address is 201 S Cleveland Ave, Hagerstown, Maryland. You can contact this provider via phone number 3017390400 and fax number 3017390402. The mailing address for Charles J Supernavage, Md, Pc is 201 S Cleveland Ave, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Charles J Supernavage, Md, Pc |
|---|---|
| Address | 201 S Cleveland Ave, Hagerstown, Maryland |
| Phone Number | 3017390400 |
| Fax Number | 3017390402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Evans C April |
| Credentials | CMM |
| Telephone Number | 3017390400 |
NPI Number Detail
| NPI Number | 1639337405 |
|---|---|
| Provider Enumeration Date | 2008-05-29 |
| Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
| Address | 201 S Cleveland Ave |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217405745 |
| 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 |
|---|---|---|---|
| 314681200 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles J Supernavage, Md, Pc by the Centers for Medicare & Medicaid Services?
The Charles J Supernavage, Md, Pc has been issued the NPI (National Provider Identifier) 1639337405 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Charles J Supernavage, Md, Pc?
The Charles J Supernavage, Md, Pc is situated at 201 S Cleveland Ave, in the city of Hagerstown, state of MD, with the zip code 217405745.
What is Charles J Supernavage, Md, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles J Supernavage, Md, Pc is Otolaryngology, and the taxonomy code that classifies this field of practice is 207Y00000X.
When did Charles J Supernavage, Md, Pc receive its 1639337405 assignment?
The Charles J Supernavage, Md, Pc was assigned its 1639337405 on 2008-05-29, which is the date when this unique identifier was issued to the organization.
When was the information regarding Charles J Supernavage, Md, Pc most recently updated?
The details pertaining to the Charles J Supernavage, Md, Pc, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.