Charles L. Spellman, DO
Internal Medicine in W Long Branch, NJ. Organization (NPI-2).
NPI number1619082922
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619082922
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles L. Spellman, DO
- Organization subpart
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | MB06409700 | NJ | Yes |
Practice location
842 BroadwayW Long Branch, NJ 07764-1503
Phone 732-269-2684 · Fax 732-269-3963
Mailing address
842 BroadwayW Long Branch, NJ 07764-1503
Phone 732-269-2684 · Fax 732-269-3963
Authorized official
Charles L Spellman
Owner
7322693963
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