Lisa, Charles

Lisa, Charles is an individual health care provider with primary practice located at 2309 E Evesham Rd Suite #202, Voorhees NJ 08043-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lisa, Charles can be contacted via phone (856) 489-1900.

Contact Information

Primary practice address
2309 E Evesham Rd Suite #202 Voorhees NJ 08043-1559
Phone: (856) 489-1900
Fax: (856) 489-7945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA02872400 New Jersey

Profile Details

NPI number 1811968316
LBN Legal business name Lisa, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 15th, 2009 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811968316 NPPES
New Jersey MEDICAID 1371401

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