Individual
DR. CHARLES NELSON PROCTOR IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2649 SCHOENERSVILLE RD STE 202, BETHLEHEM, PA 18017-7316
(484) 884-1007
Mailing address
20 ESTEMERWALT DR, HAWLEY, PA 18428-3032
(650) 862-9942
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD482940
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2018
Last updated
09/16/2024
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