Provider Demographics
NPI:1467540823
Name:PALAMONE, CHARLES PAUL (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:PAUL
Last Name:PALAMONE
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6190 GEORGETOWN BLVD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6460
Mailing Address - Country:US
Mailing Address - Phone:410-795-7766
Mailing Address - Fax:410-795-7000
Practice Address - Street 1:6190 GEORGETOWN BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6460
Practice Address - Country:US
Practice Address - Phone:410-795-7766
Practice Address - Fax:410-795-7000
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01541111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor