Individual
MR. CHARLES MARK MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
108 ROOSEVELT BLVD, MARMORA, NJ 08223-1403
(609) 926-8899
(609) 814-2147
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00242100
NJ
Other
Enumeration date
09/13/2010
Last updated
04/29/2026
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