Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | ME0047923 | FL |
NPI | 1043228893 |
---|---|
Provider Name | Charles A Buchbinder |
First Address | Boca Raton, FL 33431-7202 |
Second Address | Boca Raton, FL 33431-7202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/08/2006 |
Last Update Date | 22/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A82225 | (02) |