Individual
CHARLES CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 MAIN ST, EDISON, NJ 08837-3447
(732) 906-8866
Mailing address
15 MAIN ST, EDISON, NJ 08837-3447
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
18KT00473200
NJ
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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