MEDICARE: CHARNAM AND FRIEDLANDER DPM PA

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	213E00000X	Podiatrist

General Provider Information

NPI Number	:	1083796015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARNAM AND FRIEDLANDER DPM PA

Provider Business Mailing Address
First Line	:	1874 W HILLSBORO BLVD
Second Line	:	SUITE F
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1420
Country	:	US
Telephone Number	:	954-426-4544
Fax Number	:	954-426-4533

Provider Business Practice Location Address
First Line	:	1874 W HILLSBORO BLVD
Second Line	:	SUITE F
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33442-1420
Country	:	US
Telephone Number	:	954-426-4544
Fax Number	:	954-426-4533

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT CHARNAM
Credential	:	DPM
Telephone Number	:	954-426-4544

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	01/11/2008

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