Individual
MR. CHARLES FREDERIC LORTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
182 SOUTH STREET SUITE 1, AFFILIATED DERMATOLOGISTS & DEMATOLOGIC SURGEONS, MORRISTOWN, NJ 07960
(973) 267-0300
(973) 984-2670
Mailing address
182 SOUTH STREET SUITE 1, AFFILIATED DERMATOLOGISTS & DEMATOLOGIC SURGEONS, MORRISTOWN, NJ 07960
(973) 267-0300
(973) 984-2670
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
25MA09331600
NJ
Other
Enumeration date
06/04/2013
Last updated
08/22/2013
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