Individual
DR. CHARLES J ELDREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Mailing address
125 BUSINESS PARK DR STE 150, UTICA, NY 13502-6322
(315) 735-3541
(315) 724-3255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
165839
NY
207RN0300X
Nephrology Physician
Primary
165839
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01070199
—
NY
Enumeration date
05/17/2006
Last updated
09/06/2024
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