Individual
JEREMY Y CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 LOMBARD STREET/1ST FLOOR, DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION, PHILADELPHIA, PA 19146
(215) 893-2645
(732) 321-7330
Mailing address
1800 LOMBARD STREET/1ST FLOOR, DEPARTMENT OF PHYSICAL MEDICINE & REHABILITATION, PHILADELPHIA, PA 19146
(215) 893-2645
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA08941200
NJ
Other
Enumeration date
07/05/2007
Last updated
05/25/2016
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