Individual
DR. CHARBEL T CHALFOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37 NORTH FULLERTON AVE, MONTCLAIR, NJ 07042
(973) 233-1933
(973) 233-1934
Mailing address
37 NORTH FULLERTON AVE, MONTCLAIR, NJ 07042
(973) 233-1933
(973) 233-1934
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA08998800
NJ
208200000X
Plastic Surgery Physician
A94152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091592
PTAN
—
Enumeration date
11/28/2007
Last updated
02/07/2011
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