Individual
MR. CHARLES CHANDLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
150 BAY ST, SUITE 915, JERSEY CITY, NJ 07302-2900
(973) 986-4013
Mailing address
150 BAY ST, SUITE 915, JERSEY CITY, NJ 07302-2900
(973) 986-4013
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
006115-1
NY
363AM0700X
Medical Physician Assistant
Primary
MP00056300
NJ
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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