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Individual

MR. CHARLES MCGLADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSN, APN

Contact information

Practice address
201 TOMLIN STATION RD, MULLICA HILL, NJ 08062-1612
(856) 241-2500
Mailing address
12 GRANGE CT, WOODSTOWN, NJ 08098-1253
(856) 649-6101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00718400
NJ

Other

Enumeration date
06/19/2017
Last updated
06/19/2017
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