Organization Name: | CHARLES F BIRK DPM PA |
NPI Number: | 1164608808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARLES FREDERICK BIRK (PODIATRIST) |
Mailing Address: | 29 E Mechanic St Cape May Court House |
State: | NJ US |
Postal Code: | 082102219 |
Phone Number: | 6094651644 |
Fax Number: | 6094656180 |
NPI Enumeration Date: | 01/11/2008 |
NPI Last Update Date: | 06/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00182900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |