Individual
CHARLES DAKAKE,JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 NEWTON SPARTA RD, NEWTON, NJ 07860-2773
(973) 383-9841
(973) 383-7989
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA030842000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1776207
—
NJ
Enumeration date
02/09/2006
Last updated
03/04/2010
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