Organization
MAKOWSKI MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES JOSEPH MAKOWSKI DO (PHYSICIAN)
(732) 528-5626
Entity
Organization
Contact information
Practice address
608 UNION AVE, BRIELLE, NJ 08730-1834
(732) 528-5626
Mailing address
608 UNION AVE, BRIELLE, NJ 08730-1834
(732) 528-5626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB02539100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2786800
—
NJ
Enumeration date
09/24/2007
Last updated
09/28/2007
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