Organization
FLEISCH OBSTETRICAL & GYNECOLOGICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M FLEISCH D.O. (PHYSICIAN)
(732) 635-9800
Entity
Organization
Contact information
Practice address
3 LINCOLN HIGHWAY, SUITE 315, EDISON, NJ 08820
(732) 635-9800
(732) 635-9810
Mailing address
3 LINCOLN HIGHWAY, SUITE 315, EDISON, NJ 08820
(732) 635-9800
(732) 635-9810
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075987
MEDICARE GROUP NUMBER
NJ
Enumeration date
10/02/2006
Last updated
08/22/2020
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