Individual
GERVAIS V. CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 E MOUNTAIN DR, WILKES BARRE, PA 18711-0027
(570) 808-7399
(570) 808-5942
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD072133L
PA
208M00000X
Hospitalist Physician
Primary
MD072133L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018207720008
—
PA
Enumeration date
03/27/2006
Last updated
11/27/2023
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