Individual
DR. CHARLES M FLEISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3 STATE ROUTE 27, SUITE 315, EDISON, NJ 08820-3963
(732) 635-9800
(732) 635-9810
Mailing address
3 STATE ROUTE 27, SUITE 315, EDISON, NJ 08820-3963
(732) 635-9800
(732) 635-9810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB02567300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4729609
—
NJ
Enumeration date
08/17/2006
Last updated
07/08/2007
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