Provider Demographics
NPI:1023315348
Name:DUGAN, CHARITY E (DO)
Entity type:Individual
Prefix:DR
First Name:CHARITY
Middle Name:E
Last Name:DUGAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1700 REISTERSTOWN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-2938
Mailing Address - Country:US
Mailing Address - Phone:410-469-5555
Mailing Address - Fax:410-469-5484
Practice Address - Street 1:1700 REISTERSTOWN RD STE 102
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-2938
Practice Address - Country:US
Practice Address - Phone:410-469-5555
Practice Address - Fax:410-469-5484
Is Sole Proprietor?:No
Enumeration Date:2011-02-23
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH0088668208600000X
NCNC2015-02212208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery