Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | NJ |
NPI | 1053302166 |
---|---|
Provider Name | Dr. Charles R. Markowitz |
First Address | Lakewood, NJ 08701-0929 |
Second Address | Lakewood, NJ 08701-4720 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0594806 | (05) | NJ |
E36492 | (02) | NJ |