Provider Demographics
NPI:1184668840
Name:MCLAUGHLIN, CHARLES E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:MCLAUGHLIN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2320 WOOLSEY ST STE 201
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1975
Mailing Address - Country:US
Mailing Address - Phone:510-848-7533
Mailing Address - Fax:510-848-0105
Practice Address - Street 1:2320 WOOLSEY ST STE 201
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705
Practice Address - Country:US
Practice Address - Phone:510-848-7533
Practice Address - Fax:510-848-0105
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2018-08-07
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Provider Licenses
StateLicense IDTaxonomies
CAG25131207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A89410Medicare PIN