MEDICARE: CHARLES A BENDER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	MC01307	NJ

General Provider Information

NPI Number	:	1104993740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES A BENDER D.C.

Provider Business Mailing Address
First Line	:	1874 FELICITY LN
Second Line	:
City	:	HELLERTOWN
State	:	PA
Zip	:	18055-3417
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	619 UNION AVE
Second Line	:	BUILDING 2
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-1963
Country	:	US
Telephone Number	:	732-356-8585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	02/27/2008

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Directions to “ CHARLES A BENDER D.C.” Practice Location

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