Individual
DR. CHARLES EDWIN PARKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
899 MOUNTAIN AVE STE 2A, SPRINGFIELD, NJ 07081-3403
(908) 228-3632
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01846900
NJ
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/20/2019
Last updated
01/05/2026
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