Doctor Name: | DR. CHARLES JEFFRY KESSLER |
NPI Number: | 1962534206 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0073675 |
Business Practice Address: | 8945 N Westland Dr Suite 100 Gaithersburg, MD - 208771249 |
Business Phone Number: | 3018691230 |
Business Fax Number: | 3018691390 |
Mailing Address: | 8945 N Westland Dr, Suite 100 GAITHERSBURG |
State: | MD |
Postal Code: | 208771249 |
Phone Number: | 3018691230 |
Fax Number: | 3018691390 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0073675 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |