Individual
CHARLES A DACKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 N 39TH ST, DEPARTMENT OF PSYCHIATRY, PHILADELPHIA, PA 19104-2640
(215) 662-8752
(215) 222-3807
Mailing address
51 N 39TH ST, DEPARTMENT OF PSYCHIATRY, PHILADELPHIA, PA 19104-2640
(215) 662-8752
(215) 222-3807
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD052016L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017539650001
—
PA
Enumeration date
06/24/2006
Last updated
03/02/2012
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