Provider Demographics
NPI:1154765444
Name:PAGELS, CHARLES FREDERICK III (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FREDERICK
Last Name:PAGELS
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1215 LEE ST
Mailing Address - Street 2:BOX 800710
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-982-0629
Mailing Address - Fax:434-982-0019
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:BOX 800710
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908
Practice Address - Country:US
Practice Address - Phone:434-982-0629
Practice Address - Fax:434-982-0019
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2018-06-07
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Provider Licenses
StateLicense IDTaxonomies
390200000X
VA0101262081207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program