Cantor, Charles R

Cantor, Charles R is an individual health care provider with primary practice located at 3400 Civic Center Blvd Fl 2 , Philadelphia PA 19104-5127. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Cantor, Charles R can be contacted via phone (215) 662-3606.

Contact Information

Primary practice address
3400 Civic Center Blvd Fl 2 Philadelphia PA 19104-5127
Phone: (215) 662-3606
Fax: (215) 243-2312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X MD040671E Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD040671E Pennsylvania

Profile Details

NPI number 1225066244
LBN Legal business name Cantor, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Sep 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225066244 NPPES
Pennsylvania MEDICAID 0012153860004

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