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1720080963
CHARLES J SUPERNAVAGE
HAGERSTOWN, MD
NPI
1720080963
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: MD D0026440)
Enumeration Date
2005-06-01
Last Update Date
2015-08-10
Business Address
Dr. CHARLES J SUPERNAVAGE MD
1800 DUAL HWY 303
HAGERSTOWN, MD 21740-6648
Phone number: 301-739-0400
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Mailing Address
Dr. CHARLES J SUPERNAVAGE MD
1800 DUAL HIGHWAY SUITE 303
HAGERSTOWN, MD 21740-6602
Phone number: 301-739-0400
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