Provider Demographics
NPI:1508958026
Name:GRIFFITH, CHARLES E III (DO)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:E
Last Name:GRIFFITH
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:121 TOWNE SQUARE DR STE 303
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9440
Mailing Address - Country:US
Mailing Address - Phone:717-988-0234
Mailing Address - Fax:717-703-0121
Practice Address - Street 1:121 TOWNE SQUARE DR STE 303
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9440
Practice Address - Country:US
Practice Address - Phone:717-988-0234
Practice Address - Fax:717-703-0121
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-00259207RR0500X
MDH0065839207RR0500X
PAOS016218207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2166057OtherUNITED MAMSI
P00401045OtherRAILROAD MEDICARE
2775156OtherUNITED HC MIDATLANTIC
6208OtherBRAVO/ELDERHEALTH
MD013077000Medicaid
F5970006OtherBS FEDERAL PROGRAM
1540257OtherAETNA
200978OtherEMPLOYEE HEALTH PLANS
MD89824001OtherCAREFIRST BCBS MD
F5970006OtherCAREFIRST BCBS NCA