Individual
CHARLES R CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 243-2312
Mailing address
3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA 19104-5127
(215) 662-3606
(215) 243-2312
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD040671E
PA
2084N0400X
Neurology Physician
Primary
MD040671E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012153860004
—
PA
Enumeration date
06/29/2006
Last updated
09/27/2019
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