Mr. Charles Frederic Lortie
Procedural Dermatology
182 South Street Suite 1 Affiliated Dermatologists & Dematologic Surgeons
Morristown
, New Jersey 07960
Mr. Charles Frederic Lortie
Procedural Dermatology
182 South Street Suite 1 Affiliated Dermatologists & Dematologic Surgeons
Morristown
, New Jersey 07960
(973) 984-2670
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Mr. Charles Frederic Lortie
- 182 South Street Suite 1 Affiliated Dermatologists & Dematologic Surgeons
- Morristown, NJ
- Zip : 07960
- Fax : (973) 984-2670
- Phone : (973) 267-0300
Second Address
- Mr. Charles Frederic Lortie
- 182 South Street Suite 1 Affiliated Dermatologists & Dematologic Surgeons
- Morristown, NJ
- Zip : 07960
- Fax : (973) 984-2670
- Phone : (973) 267-0300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 25MA09331600 | NJ |
National Provider Identifier
| NPI | 1457798134 |
|---|---|
| Provider Name | Mr. Charles Frederic Lortie |
| First Address | Morristown, NJ 07960 |
| Second Address | Morristown, NJ 07960 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/06/2013 |
| Last Update Date | 22/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.