Sidwa, Charles

Sidwa, Charles is an individual health care provider with primary practice located at 1322 Route 72 W Suite 201, Manahawkin NJ 08050. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Sidwa, Charles can be contacted via phone (800) 337-6663.

Contact Information

Primary practice address
1322 Route 72 W Suite 201 Manahawkin NJ 08050
Phone: (800) 337-6663
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MP00052400 New Jersey

Profile Details

NPI number 1295784734
LBN Legal business name Sidwa, Charles
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Aug 4th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295784734 NPPES
New Jersey Other 320562 AMERICAID/AMERIGROUP
New Jersey Other 3K3524 AMERICAID/AMERIGROUP

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