Individual
DR. CHARLES B. DAKNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1967 RTE 34 STE 102, WALL TOWNSHIP, NJ 07719-9738
(732) 345-1180
(732) 530-4476
Mailing address
1967 RTE 34 STE 102, WALL TOWNSHIP, NJ 07719-9738
(732) 345-1180
(732) 530-4476
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 68160
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06816000
NJ
Other
Enumeration date
05/02/2006
Last updated
04/25/2018
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