Individual
DR. CHARLES E SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE, ROCHESTER, NY 14642-0001
(585) 275-8236
(585) 756-5337
Mailing address
601 ELMWOOD AVE, DEPARTMENT OF PATHOLOGY & LABORATORY MEDICINE, ROCHESTER, NY 14642-0001
(585) 275-8236
(585) 756-5337
Taxonomy
Speciality
Code
Description
License number
State
207ZP0104X
Chemical Pathology Physician
Primary
150997
NY
Other
Enumeration date
08/25/2006
Last updated
07/12/2007
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