ELLIS B CHARLES

Dr ELLIS B CHARLES is a male medical professional, specializing in Psychiatry. He graduated in 1971.

Contact

90 WASHINGTON ST
SUITE 304
EAST ORANGE
NJ
070171050

Tel: 9736722555

ELLIS B CHARLES Information

Npi 1013046341
Pac Id 5597943324
Professional Enrollment Id I20110627000700
Last Name CHARLES
First Name ELLIS
Middle Name B
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1971
Primary Specialty PSYCHIATRY
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Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 90 WASHINGTON ST
Line 2 Street Address SUITE 304
Marker Of Address Line 2 Suppression
City EAST ORANGE
State NJ
Zip Code 070171050
Phone Number 9736722555
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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