Marchese, Charles G
Marchese, Charles G is an sole proprietor health care provider with primary practice located at 145 Route 33 , Manalapan NJ 07726-8355. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Marchese, Charles G can be contacted via phone (328) 450-1007.Contact Information
Primary practice address
145 Route 33
Manalapan NJ 07726-8355
Phone: (328) 450-1007
Fax: (732) 845-1008
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 25MD00202500 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N004476 | New York |
Profile Details
| NPI number | 1417061854 |
|---|---|
| LBN Legal business name | Marchese, Charles G |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Apr 12th, 2021 - about 5 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 | 1417061854 | NPPES |
| New Jersey | MEDICAID | 7223200 | |
| New Jersey | MEDICAID | 01127577 | |
| New Jersey | Other | 480026837 |
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