Individual
CHARLES K. DADZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 DAVIS AVE FL 5, NEPTUNE, NJ 07753-4488
(732) 776-4268
(732) 776-3178
Mailing address
19 DAVIS AVE FL 5, NEPTUNE, NJ 07753-4488
(732) 776-4268
(732) 776-3178
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
25MA03895500
NJ
2080P0214X
Pediatric Pulmonology Physician
Primary
MA3895500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0452009
—
NJ
Enumeration date
04/26/2006
Last updated
11/12/2019
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