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Larry Charles
NPI 1225448988 · on the registry since 2014 · sole proprietor
Practice
- Address
- 795 White Horse Pike
Suite B
Haddon Township, NJ 08107 - Phone
- (215) 207-4089
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 101Y00000X
101YM0800X - Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey