Lydia Charles
MD | Pediatric Adolescent Medicine | Female
Lydia Charles, MD is a Wayne, New Jersey based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Lydia Charles is
1680 Route 23, Suite 350, Wayne, New Jersey - 07470-7501. She can be contacted on phone at
973-521-9700 and fax number 973-521-9707.
Lydia Charles is a sole proprietor of her business.
NPI number (Unique professional ID) for Lydia Charles is
1598754509 which was assigned by NPPES on 21 Oct, 2005 and it was last updated on 12 Nov, 2013.
Lydia Charles license number is
MA06235800 for Pediatrics Adolescent Medicine (2080A0000X) in New Jersey.
Lydia Charles specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Lydia Charles basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Lydia Charles |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Lydia Charles address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1680 Route 23, Suite 350
Wayne, NJ, 07470-7501
United States |
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| Phone Number : | 973-521-9700 |
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| Fax Number : | 973-521-9707 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598754509 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Oct, 2005 |
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| Last Updated On : | 12 Nov, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lydia Charles are as mentioned. Primary taxonomy code for Lydia Charles, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | MA06235800 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Lydia Charles such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| MA06235800 | Other | NJ | MEDICAL LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1680 Route 23, Suite 350
Wayne, NJ, 07470-7501
United States |
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| Phone Number : | 973-521-9700 |
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| Fax Number : | 973-521-9707 |
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Business Location:
Patients can refer following map for directions to
Lydia Charles practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.