Individual
PATRICK CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(551) 996-2331
Mailing address
5665 KENNEDY BLVD, APT 337, NORTH BERGEN, NJ 07047-3223
(516) 428-1219
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036172781
IL
207P00000X
Emergency Medicine Physician
25MB10313500
NJ
Other
Enumeration date
09/29/2014
Last updated
01/22/2025
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