Individual
CHARLES MILNE SCIELZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
354 GRANDVIEW CIR, RIDGEWOOD, NJ 07450-4916
(201) 447-5723
(201) 447-3969
Mailing address
354 GRANDVIEW CIR, RIDGEWOOD, NJ 07450-4916
(201) 447-5723
(201) 447-3969
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA02703100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC35087
STATE MEDICARE NUMBER
NJ
Enumeration date
09/03/2008
Last updated
09/03/2008
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