Organization
CARLOS A CHARLES MD PC
Active
Other names
Derma di Colore
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A CHARLES MD (OWNER)
(217) 889-5413
Entity
Organization
Contact information
Practice address
115 W 27TH ST, SUITE 1001, NEW YORK, NY 10001-6217
(347) 889-5413
Mailing address
115 W 27TH ST, SUITE 1001, NEW YORK, NY 10001-6217
(347) 889-5413
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
220104
NY
Other
Enumeration date
11/06/2012
Last updated
11/20/2014
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