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Contact Information

CHARLES W CONCODORA, MD
200 WYCKOFF ROAD
SUITE 4500
EATONTOWN, NJ07724
 Phone: 732-235-7960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Urology

2088P0231X 34 Physician/Urology
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for CHARLES W CONCODORA · (Male)

NPI # 1942511373
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2010
Last updated 04/11/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA10242700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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