Individual
CHARLES LOUIS SPELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6696
Mailing address
PO BOX 150, LONG BRANCH, NJ 07740-0150
(908) 433-6819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB064097
NJ
Other
Enumeration date
01/02/2006
Last updated
01/08/2016
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