IndividualActive
Charles Park, MD
NPI 1861438517 · Neurological Surgery Physician · Baltimore, MD
Provider details
- NPI number
- 1861438517
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D0051977 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
301 St. Paul Place
Pob # 310
Baltimore, MD 21202
Phone: (410) 332-9872
Fax: (410) 659-1172
Approximate (ZIP-level) locationGet directions
Mailing address
301 St. Paul Place
Baltimore, MD 21202-2102
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2016-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.