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1902681414
CHARLES CHIRACKAL
WEST CALDWELL, NJ
NPI
1902681414
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA02206900)
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
CHARLES CHIRACKAL DPT
760 BLOOMFIELD AVE
WEST CALDWELL, NJ 07006-6710
Phone number: 973-954-9190
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Mailing Address
CHARLES CHIRACKAL DPT
1311 MAMARONECK AVE STE 140
WHITE PLAINS, NY 10605-5224
Phone number: 914-265-4606
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