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Contact Information

CHARLES DICK JR, MD
1076 ROUTE 76 SOUTH
RIO GRANDE, NJ08242
 Phone: 609-741-6363
 Fax: 609-939-4450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CHARLES DICK JR · (Male)

NPI Number 1639263882
Status Active
Credentials MD
Entity Individual
Enumeration date 10/03/2006
Last updated 11/19/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • DE License # C1-0002715
  • NJ License # 25MA0836690
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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