Charles R Dennis, MD

NPI #1578593786 in Patchogue, New York

Provider Information

NPI Number: 1578593786
Entity Type: Individual
Name: Charles R Dennis, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Jul 4, 2006
Last Updated: Feb 3, 2014

Practice Location

Address: 55 MEDFORD AVE
Address 2: SUITE E
City: Patchogue
State: New York
ZIP Code: 11772-1229
Phone: (631) 687-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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