Provider Demographics
NPI:1043228893
Name:BUCHBINDER, CHARLES A (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:A
Last Name:BUCHBINDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2499 W. GLADES RD
Mailing Address - Street 2:SUITE 310
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7202
Mailing Address - Country:US
Mailing Address - Phone:561-395-7704
Mailing Address - Fax:561-395-8860
Practice Address - Street 1:2499 WEST GLADES ROAD
Practice Address - Street 2:SUITE 310
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7202
Practice Address - Country:US
Practice Address - Phone:561-395-7704
Practice Address - Fax:561-395-8860
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2024-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0047923207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A82225Medicare UPIN
FL61523Medicare ID - Type Unspecified