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NPI Code Detail

MEDICARE: MRS. CHARLENE L. GRIFFIN M.T.

MEDICARE:  MRS. CHARLENE L. GRIFFIN  M.T.
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1801966098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHARLENE L. GRIFFIN M.T.
Provider Business Mailing Address
First Line : 96 STOCKTON AVE
Second Line :
City : OCEAN GROVE
State : NJ
Zip : 07756-1051
Country : US
Telephone Number : 732-245-2851
Fax Number :
Provider Business Practice Location Address
First Line : 1613 MAIN ST
Second Line :
City : LAKE COMO
State : NJ
Zip : 07719-3049
Country : US
Telephone Number : 732-245-2851
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. CHARLENE L. GRIFFIN M.T.” Practice Location

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