Provider Demographics
NPI:1568884492
Name:JEAN-CHARLES, ADEBIYI
Entity Type:Individual
Prefix:MRS
First Name:ADEBIYI
Middle Name:
Last Name:JEAN-CHARLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 HOBBIT DR
Mailing Address - Street 2:
Mailing Address - City:TAMIMENT
Mailing Address - State:PA
Mailing Address - Zip Code:18371-9443
Mailing Address - Country:US
Mailing Address - Phone:646-591-5511
Mailing Address - Fax:
Practice Address - Street 1:213 HOBBIT DR
Practice Address - Street 2:
Practice Address - City:TAMIMENT
Practice Address - State:PA
Practice Address - Zip Code:18371-9443
Practice Address - Country:US
Practice Address - Phone:646-591-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-12
Last Update Date:2014-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist