| James A. Charles, M.d. P.a. | |
|
956 Kennedy Blvd Bayonne NJ 07002-1978 | |
| (201) 858-2457 | |
| (201) 858-1053 |
| Full Name | James A. Charles, M.d. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 956 Kennedy Blvd, Bayonne, New Jersey |
| Authorized Official Name and Position | James A Charles (OWNER) |
| Authorized Official Contact | 2018582457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James A. Charles, M.d. P.a. 956 Kennedy Blvd Bayonne NJ 07002-1978 Ph: (201) 858-2457 | James A. Charles, M.d. P.a. 956 Kennedy Blvd Bayonne NJ 07002-1978 Ph: (201) 858-2457 |
| NPI Number | 1396041562 |
|---|---|
| Provider Enumeration Date | 02/04/2011 |
| Last Update Date | 08/09/2012 |
| Medicare PECOS PAC ID | 5991985939 |
|---|---|
| Medicare Enrollment ID | O20110209000371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396041562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 25MA03631900 (New Jersey) | Primary |
| Provider Name | James A Charles |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356457246 PECOS PAC ID: 6800076845 Enrollment ID: I20110209000402 |
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