Individual
DR. CHARLES A DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 YOUNG AVE, SUITE 275, MOORESTOWN, NJ 08057-3130
(856) 291-8855
(856) 291-8844
Mailing address
7000 ATRIUM WAY, SUITE 6, MOUNT LAUREL, NJ 08054-3917
(856) 291-6818
(856) 291-6819
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA05709600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5038405
—
NJ
Enumeration date
04/13/2006
Last updated
03/17/2014
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