CHARLES J. LANCELOTTA JR. M.D. P.A. NPI 1902075997

NPI Information

CHARLES J. LANCELOTTA JR., M.D., P.A. is a specialist in Columbia, MD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHARLES J. LANCELOTTA JR., M.D., P.A. NPI is 1902075997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11055 LITTLE PATUXENT PKWY
SUITE L7
COLUMBIA, MD
ZIP 21044-896
Phone: (410) 715-2533
Fax: (410) 715-2536

The provider's authorized official is Charles Joseph Lancelotta .
The authorized official title is Owner and has the following contact phone number (410) 715-2533.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 2/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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