Provider Demographics
NPI:1982945408
Name:ROGERS, CHARLES LAWSON (M D,)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:LAWSON
Last Name:ROGERS
Suffix:
Gender:M
Credentials:M D,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4140 CADLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:MD
Mailing Address - Zip Code:21037-4529
Mailing Address - Country:US
Mailing Address - Phone:410-798-6022
Mailing Address - Fax:
Practice Address - Street 1:4140 CADLE CREEK RD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:MD
Practice Address - Zip Code:21037-4529
Practice Address - Country:US
Practice Address - Phone:410-798-6022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101026538207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery