Individual
DR. CHARLES STEPHEN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
321 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 343-2434
(201) 343-3917
Mailing address
321 SUMMIT AVE, HACKENSACK, NJ 07601-1429
(201) 343-2434
(201) 343-3917
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
149827
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MA49376
NJ
Other
Enumeration date
03/01/2006
Last updated
08/05/2010
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