Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charter Dermatology PLLC

Organization Dermatology Physician · NPI 1043099658

Charter Dermatology PLLC is a Dermatology Physician in Martinsburg, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1008 Tavern Rd Ste 201
Martinsburg, WV 25401-2859
Phone: (301) 693-3336
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X

Record details

NPI number1043099658
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suresh Menon — Physician Partner · (301) 693-3336
NPI enumeratedSeptember 22, 2023
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address1800 Latigo Ct, Frederick, MD 21702-5507

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