Charlamb, Mark J
Charlamb, Mark J is an individual health care provider with primary practice located at 510 Towne Dr , Fayetteville NY 13066-1331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Charlamb, Mark J can be contacted via phone (315) 663-0500.Contact Information
Primary practice address
510 Towne Dr
Fayetteville NY 13066-1331
Phone: (315) 663-0500
Fax: (315) 663-0514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 192142 | New York |
Profile Details
| NPI number | 1760480982 |
|---|---|
| LBN Legal business name | Charlamb, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Oct 1st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760480982 | NPPES |
| New York | MEDICAID | 01816926 |
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