Individual provider · Type 1 NPI

Charles J. Supernavage, MD

Otolaryngology Physician · Hagerstown, MD

NPI number 1720080963 Active

Practice location

1800 Dual Hwy 303
Hagerstown, MD 21740-6648

Fax (301) 739-0402

Mailing address

1800 Dual Highway, Suite 303
Hagerstown, MD 21740-6602

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XD0026440 (MD)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1720080963

Charles J. Supernavage, MD's National Provider Identifier is 1720080963, issued on Jun 1, 2005. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Hagerstown, MD. The record was last updated on Jul 13, 2026.