Provider Demographics
NPI:1871501387
Name:VONREYN, CHARLES FORDHAM (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FORDHAM
Last Name:VONREYN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DARTMOUTH HITCHCOCK MEDICAL CENTER
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-8840
Mailing Address - Fax:603-650-6199
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DARTMOUTH HITCHCOCK MEDICAL CENTER
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-8840
Practice Address - Fax:603-650-6199
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2011-03-03
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Provider Licenses
StateLicense IDTaxonomies
NH5755207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease