| Doctor Name: | CHARLES NORRIS |
| NPI Number: | 1548417504 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD030646E |
| Business Practice Address: | 130 Long Ln Apt 404 Upper Darby, PA - 190823437 |
| Business Phone Number: | 4844619531 |
| Business Fax Number: | |
| Mailing Address: | 1758 Allentown Rd, #213 LANSDALE |
| State: | PA |
| Postal Code: | 194464053 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/21/2008 |
| NPI Last Update Date: | 08/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD030646E |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |