Provider Demographics
NPI:1730105388
Name:SPRIGMAN, CHARLES (DO)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:SPRIGMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 TOMLIN STATION ROAD
Mailing Address - Street 2:SUITE B
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-1612
Mailing Address - Country:US
Mailing Address - Phone:856-241-2500
Mailing Address - Fax:856-241-2511
Practice Address - Street 1:201 TOMLIN STATION RD
Practice Address - Street 2:SUITE B
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-1612
Practice Address - Country:US
Practice Address - Phone:856-241-2500
Practice Address - Fax:856-241-2511
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB69720207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ90000011100OtherAMERICHOICE
NJ2035885000OtherAMERIHEALTH
NJ8517509Medicaid
NJ222137644OtherBCBSNJ
H37917Medicare UPIN
NJ90000011100OtherAMERICHOICE