Individual
DR. CHARLES JUNIOR BADGER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
(607) 271-3686
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050
(607) 873-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
209797
NY
208M00000X
Hospitalist Physician
Primary
209797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02082162
—
NY
Enumeration date
11/15/2006
Last updated
11/20/2020
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