Healthcare Provider Details

I. General information

NPI: 1487982583
Provider Name (Legal Business Name): CHARLES STEINER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 12/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

467 VALLEY ST L-H
MAPLEWOOD NJ
07040-1306
US

IV. Provider business mailing address

467 VALLEY ST L-H
MAPLEWOOD NJ
07040-1306
US

V. Phone/Fax

Practice location:
  • Phone: 973-763-3300
  • Fax: 973-763-3290
Mailing address:
  • Phone: 973-763-3300
  • Fax: 973-763-3290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number25MB01123300
License Number StateNJ

VIII. Authorized Official

Name: CHARLES STEINER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 973-763-3300