Provider Demographics
NPI:1609828383
Name:WILKINS, CHARLES E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:E
Last Name:WILKINS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:146 HADDONFIELD BERLIN RD S
Mailing Address - Street 2:SUITE301
Mailing Address - City:GIBBSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08026-1018
Mailing Address - Country:US
Mailing Address - Phone:856-784-1111
Mailing Address - Fax:856-435-4070
Practice Address - Street 1:146 HADDONFIELD BERLIN RD S
Practice Address - Street 2:SUITE301
Practice Address - City:GIBBSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08026-1018
Practice Address - Country:US
Practice Address - Phone:856-784-1111
Practice Address - Fax:856-435-4070
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA21045207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2835100Medicaid
NJ2835100Medicaid