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Individual

DR. CHARLES JEFFRY KESSLER

Active
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Individual

DR. CHARLES JEFFRY KESSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
84348
FL
208D00000X
General Practice Physician
D0073675
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1962534206
PHYSICIAN
Enumeration date
03/12/2007
Last updated
06/15/2012
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