Individual
CHARLES MENSAH FOSUHENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
403 PACIFIC AVE, JERSEY CITY, NJ 07304-3715
(201) 238-3972
Mailing address
403 PACIFIC AVE, JERSEY CITY, NJ 07304-3715
(201) 238-3972
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00167300
NJ
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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