Provider Demographics
NPI:1952436669
Name:WENG, CHARLES TERRELL (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:TERRELL
Last Name:WENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1407 YORK RD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6097
Mailing Address - Country:US
Mailing Address - Phone:410-339-3850
Mailing Address - Fax:410-339-3852
Practice Address - Street 1:1407 YORK RD
Practice Address - Street 2:SUITE 307
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6097
Practice Address - Country:US
Practice Address - Phone:410-339-3850
Practice Address - Fax:410-339-3852
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2011-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD50760207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine