Active NPIIndividual provider

Mr. Charles Sidwa, PA

Dermatology in Manahawkin, New Jersey

NPI Number1295784734
Practice location
1322 Route 72 W, Suite 201, Manahawkin, NJ 08050
Fax
—
Last updated
August 4, 2021

Charles Sidwa is a Dermatology based in Manahawkin, NJ. Charles Sidwa practices in Manahawkin, NJ and has the professional credentials of PA. The NPI Number for Charles Sidwa is 1295784734 and holds a License No. 25MP00052400 (NJ). The current practice location address for Charles Sidwa is 1322 Route 72 W, Suite 201, Manahawkin, NJ 08050 and can be reached out via phone at 800-337-6663.

Provider Profile Details

NPI Number
1295784734
Provider Name
Charles Sidwa
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1322 Route 72 W, Suite 201, Manahawkin, NJ 08050
Phone Number
800-337-6663
Primary Taxonomy
Dermatology · 207N00000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2006
Last Update Date
August 4, 2021
Certification Date
August 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1322 Route 72 W
Suite 201
Manahawkin, NJ 08050
Zip
08050
Phone Number
800-337-6663
Manahawkin, NJ 08050Get directions →

Provider Business Mailing Address Details

Address
1580 Lakewood RD Ste 16
Toms River, NJ 08755-3287
City
Toms River
State
NJ
Zip
08755-3287
Phone Number
732-456-7777
Fax Number
848-251-2189

License Information

License Number
25MP00052400
License State
NJ
Taxonomy
Dermatology · 207N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Charles Sidwa, PA?

The NPI number of Mr. Charles Sidwa, PA is 1295784734. It was assigned on May 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Charles Sidwa, PA?

Mr. Charles Sidwa, PA is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NJ under license number 25MP00052400.

Where does Mr. Charles Sidwa, PA practice?

The practice location is 1322 Route 72 W, Suite 201, Manahawkin, NJ 08050. The office can be reached at 800-337-6663 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295784734 directly on the NPPES registry website.

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