Individual
CHARLES R MINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 KEISER BLVD, WYOMISSING, PA 19610-3338
(610) 685-8500
(610) 378-5131
Mailing address
2605 KEISER BLVD, WYOMISSING, PA 19610-3338
(610) 685-8500
(610) 378-5131
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD017700E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006588900005
—
PA
Enumeration date
10/26/2005
Last updated
07/08/2007
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