Charles, Lydia
Charles, Lydia is an sole proprietor health care provider with primary practice located at 1680 Route 23 Suite 350, Wayne NJ 07470-7501. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Charles, Lydia can be contacted via phone (973) 521-9700.Contact Information
Primary practice address
1680 Route 23 Suite 350
Wayne NJ 07470-7501
Phone: (973) 521-9700
Fax: (973) 521-9707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MA06235800 | New Jersey |
Profile Details
| NPI number | 1598754509 |
|---|---|
| LBN Legal business name | Charles, Lydia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Nov 12th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598754509 | NPPES |
| New Jersey | Other | MA06235800 | MEDICAL LICENSE |
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