Individual
CHARLES EDWARD KORDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 ELM PL, WOODCLIFF LAKE, NJ 07677-8013
(201) 930-0422
Mailing address
9 ELM PL, WOODCLIFF LAKE, NJ 07677-8013
(201) 573-0493
(201) 930-0422
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA03586200
NJ
208D00000X
General Practice Physician
Primary
25MA03586200
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
25MA03586200
NJ
Other
Enumeration date
09/14/2013
Last updated
09/14/2013
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