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A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine |
| NPI Number | 1356178859 |
| LBN Legal business name | CHARM CITY OUTPATIENT TREATMENT LEVEL 1 |
| Authorized official | DEVESH KANJARPANE - (CHIEF MEDICAL OFFICER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/18/2024 |
| Last updated | 09/18/2024 - More than a year ago |
| Identifiers | n/a |
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CHARM CITY OUTPATIENT TREATMENT LEVEL 1
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CHARM CITY OUTPATIENT TREATMENT LEVEL 1