Charles L. Spellman, Do | |
842 Broadway W Long Branch NJ 07764-1503 | |
(732) 269-2684 | |
(732) 269-3963 |
Full Name | Charles L. Spellman, Do |
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Speciality | Internal Medicine |
Location | 842 Broadway, W Long Branch, New Jersey |
Authorized Official Name and Position | Charles L Spellman (OWNER) |
Authorized Official Contact | 7322693963 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles L. Spellman, Do 842 Broadway W Long Branch NJ 07764-1503 Ph: (732) 269-2684 | Charles L. Spellman, Do 842 Broadway W Long Branch NJ 07764-1503 Ph: (732) 269-2684 |
NPI Number | 1619082922 |
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Provider Enumeration Date | 08/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1619082922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MB06409700 (New Jersey) | Primary |
Malek Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 232 Norwood Ave, W Long Branch, NJ 07764 Phone: 732-222-6637 |