Individual
DR. CHARLES G MARCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
145 ROUTE 33, MANALAPAN, NJ 07726-8355
(328) 450-1007
(732) 845-1008
Mailing address
164 AVENUE U, BROOKLYN, NY 11223-3740
(718) 996-8420
(718) 714-6787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
25MD00202500
NJ
213E00000X
Podiatrist
Primary
N004476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01127577
—
NY
01
—
480026837
RAILROAD MEDICARE
NY
05
—
7223200
—
NJ
Enumeration date
08/19/2006
Last updated
04/12/2021
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