Provider Demographics
NPI:1376557850
Name:TISCHLER, CHARLES DENNIS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DENNIS
Last Name:TISCHLER
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 1:3 RUSKIN RD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3305
Mailing Address - Country:US
Mailing Address - Phone:201-796-8369
Mailing Address - Fax:
Practice Address - Street 1:VETERANS ADMINISTRATION NEW JERSEY HEALTH CARE SYSTEM
Practice Address - Street 2:385 TREMONT AVE
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018
Practice Address - Country:US
Practice Address - Phone:973-676-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03193600208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery