Individual
DR. ELLIS B CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 WASHINGTON ST, EAST ORANGE, NJ 07017-1050
(973) 672-2555
(973) 672-2529
Mailing address
63 LONGVIEW AVE, RANDOLPH, NJ 07869-3008
(973) 895-5062
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
132910
NY
2084P0800X
Psychiatry Physician
18284
GA
2084P0800X
Psychiatry Physician
Primary
25MA05127300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866300
—
NJ
Enumeration date
03/04/2007
Last updated
03/05/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us