Individual
DR. MARVIN BARRY CHARTOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D
Contact information
Practice address
21 MAIN ST, SPARTA, NJ 07871-1916
(973) 729-5535
(973) 726-9706
Mailing address
11S SHORE TRL, SPARTA, NJ 07871-1610
(862) 432-2971
(973) 726-9706
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00104400
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00104400
NJ
103TC0700X
Clinical Psychologist
35SI00104400
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00104400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318108
—
NJ
01
—
222664938
TAX ID
—
Enumeration date
06/04/2006
Last updated
11/06/2024
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