Individual
CHARLES J BACALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1126 PARK AVE, NEW YORK, NY 10128-1203
(212) 289-4500
(212) 289-6793
Mailing address
1126 PARK AVE, NEW YORK, NY 10128-1203
(212) 289-4500
(212) 289-6793
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
129470
NY
Other
Enumeration date
08/31/2006
Last updated
07/26/2014
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