Individual
CHARLES J HODGE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 IRVING AVE, SUITE 503, SYRACUSE, NY 13210-1603
(315) 464-4470
(315) 464-5520
Mailing address
750 E ADAMS ST, 613 JACOBSEN HALL, SYRACUSE, NY 13210-2306
(315) 464-6505
(315) 464-5520
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
108474
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462226
—
NY
Enumeration date
08/10/2005
Last updated
06/17/2008
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