Individual
DR. CHARLES M FERMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 1ST AVE, RUSK 607, NEW YORK, NY 10016-6402
(212) 263-5072
Mailing address
550 1ST AVE, TISCH 530, NEW YORK, NY 10016-6402
(212) 263-5072
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
114675
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001210040
—
NY
Enumeration date
08/15/2005
Last updated
03/30/2015
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