Individual
CHARLES WILLIAM CONCODORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 WYCKOFF ROAD, SUITE 4500, EATONTOWN, NJ 07724
(732) 235-7960
Mailing address
200 WYCKOFF ROAD, SUITE 4500, EATONTOWN, NJ 07724
(732) 235-7960
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA10242700
NJ
2088P0231X
Pediatric Urology Physician
Primary
25MA10242700
NJ
Other
Enumeration date
06/30/2010
Last updated
04/11/2024
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