Provider Demographics
NPI:1376809574
Name:CHARLTON, NATALIE N (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:N
Last Name:CHARLTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 STANYAN ST.
Mailing Address - Street 2:ROOM 503
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117
Mailing Address - Country:US
Mailing Address - Phone:415-600-3954
Mailing Address - Fax:
Practice Address - Street 1:450 STANYAN ST.
Practice Address - Street 2:ROOM 503
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117
Practice Address - Country:US
Practice Address - Phone:415-750-5909
Practice Address - Fax:415-750-5910
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131203207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine