Individual
CHARLES YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
861 E ALLEGHENY AVE, PHILADELPHIA, PA 19134-2401
(215) 831-1100
Mailing address
4417 N 6TH ST, PHILADELPHIA, PA 19140-2319
(215) 302-3150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018575
PA
Other
Enumeration date
01/17/2018
Last updated
02/03/2025
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