Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES J SUPERNAVAGE, MD
ActiveOtolaryngology · HAGERSTOWN, MD
Registration Details
- NPI Number
- 1720080963
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2005 (20.89167019053 yrs)
- Last Updated
- Aug 10, 2015
- License
-
D0026440 (MD)
Practice Information
- Address
-
1800 DUAL HWY 303HAGERSTOWN, MD, 217406648Browse MD providers · Browse ZIP 21740
- Phone
- 3017390400
- Fax
- 3017390402
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in HAGERSTOWN, MD
| Name | Credential | NPI |
|---|---|---|
| DR. JARL THOMAS WATHNE | M. D. | 1801898002 |
| DR. MICHAEL JOSEPH SAYLOR | M. D. | 1982606190 |
| DR. ANDREW ROBERT CUKIER | M. D. | 1962404152 |
| DR. BRIAN JOHN MCKINNON | MD | 1316945819 |
| DR. ANTHONY CHRISTOPHER MANILLA | D.O. | 1356332480 |
| DR. KIRBY J SCOTT | D.O. | 1548242100 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.