Provider Demographics
NPI:1083796015
Name:CHARNAM AND FRIEDLANDER DPM PA
Entity Type:Organization
Organization Name:CHARNAM AND FRIEDLANDER DPM PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARNAM
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:954-426-4544
Mailing Address - Street 1:1874 W HILLSBORO BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-1420
Mailing Address - Country:US
Mailing Address - Phone:954-426-4544
Mailing Address - Fax:954-426-4533
Practice Address - Street 1:1874 W HILLSBORO BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-1420
Practice Address - Country:US
Practice Address - Phone:954-426-4544
Practice Address - Fax:954-426-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77332Medicare PIN
FL1035920001Medicare NSC