Organization
CHARLES L. SPELLMAN, DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L SPELLMAN DO (OWNER)
(732) 269-3963
Entity
Organization
Contact information
Practice address
842 BROADWAY, W LONG BRANCH, NJ 07764-1503
(732) 269-2684
(732) 269-3963
Mailing address
842 BROADWAY, W LONG BRANCH, NJ 07764-1503
(732) 269-2684
(732) 269-3963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB06409700
NJ
Other
Enumeration date
08/20/2006
Last updated
08/22/2020
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