Charles L. Spellman, DO

Organization Active NPI Internal Medicine Physician · W Long Branch, NJ

NPI 1619082922 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1619082922
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
MB06409700 (NJ)
Legal business name
CHARLES L. SPELLMAN, DO
Practice address
842 Broadway
W Long Branch, NJ 07764-1503
Phone
(732) 269-2684
Fax
(732) 269-3963
NPI assigned
Aug 20, 2006
Organization subpart
No

Authorized official

Name
Charles L Spellman, DO
Title
Owner
Phone
(732) 269-3963

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

300 2nd Ave
Ste W217
Long Branch, NJ 07740
Phone (732) 923-6696

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X MB06409700 NJ Yes

Addresses

Primary practice location

842 Broadway
W Long Branch, NJ 07764-1503

Mailing address

842 Broadway
W Long Branch, NJ 07764-1503
Phone (732) 269-2684

Other providers in W Long Branch, NJ

All providers in W Long Branch, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.