Individual
MR. CHARLES H. KELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L. LEVY PLACE,, BOX 1230, NEW YORK, NY 10029-6574
(973) 972-0037
(973) 972-9355
Mailing address
1 GUSTAVE L. LEVY PLACE,, BOX 1230, NEW YORK, NY 10029-6574
(212) 659-8838
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA07375600
NJ
2084P0805X
Geriatric Psychiatry Physician
25MA07375600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5651409
—
NJ
Enumeration date
02/01/2007
Last updated
08/31/2009
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