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Dr. Charles Nelson Proctor IV, MD
Student in an Organized Health Care Education/Training Program in Long Branch, New Jersey
NPI 1700376092

Charles Nelson Proctor IV is a Student in an Organized Health Care Education/Training Program based in Hawley, NJ. Charles Nelson Proctor IV practices in Long Branch, NJ and has the professional credentials of MD. The NPI Number for Charles Nelson Proctor IV is 1700376092 and holds a License No. (New Jersey).

The current practice location address for Charles Nelson Proctor IV is 300 2Nd Ave, Long Branch, NJ and can be reached out via phone at 732-222-5200.

Location: 300 2Nd Ave, Long Branch, NJ, 18428-3032
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700376092
Provider Name
Charles Nelson Proctor IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 2Nd Ave, Long Branch, NJ, 18428-3032
Phone Number
732-222-5200
Fax Number
Provider Enumeration Date
05/13/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 2Nd Ave
City
Long Branch
State
New Jersey
Zip
07740-6303
Phone Number
732-222-5200
Fax Number
person
Provider Business Mailing Address Details
Address
300 2Nd Ave
City
Long Branch
State
New Jersey
Zip
07740-6303
Phone Number
732-222-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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