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General NPI Number Information
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NPI Number | 1114285343
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Entity Type | Organization
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Legal Business Name | CHARLAND WOMENS MEDICAL HEALTHCARE PLLC
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Dates
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Enumeration Date | 04/25/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 446 GUY PARK AVE SUITE A
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City | AMSTERDAM
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State | NY
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Zip | 12010-1005
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Country | US
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Telephone | 518-842-0373
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Fax | 518-842-0135
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Provider Business Mailing Address
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Address Line | 199 HICKORY RIDGE RD
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City | AMSTERDAM
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State | NY
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Zip | 12010-6419
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Country | US
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Telephone | 518-842-0373
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Fax | 518-842-0135
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Authorized Official
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Title or Position | M.D./OWNER
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Name | JAMES M. CHARLAND
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Credential | M.D.
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Telephone | 518-842-0373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 173248
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License Number State | NY
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