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1922113539
CHARLES E REISEN
LAKEWOOD, NJ
NPI
1922113539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: NJ 25ma05286100)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Dr. CHARLES E REISEN M.D.
600 RIVER AVE
LAKEWOOD, NJ 08701-5237
Phone number: 732-363-1900
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Mailing Address
Dr. CHARLES E REISEN M.D.
1000 HADDONFIELD BERLIN RD SUITE 210
VOORHEES, NJ 08043-3520
Phone number: 856-782-2212
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