Provider Demographics
NPI:1942356845
Name:STUEBER, CHARLES FREDERICK JR (DAC, LAC, DIPL AC)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:FREDERICK
Last Name:STUEBER
Suffix:JR
Gender:M
Credentials:DAC, LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1245 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:STE 408
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3831
Mailing Address - Country:US
Mailing Address - Phone:609-588-8655
Mailing Address - Fax:609-588-8016
Practice Address - Street 1:1245 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:STE 408
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3831
Practice Address - Country:US
Practice Address - Phone:609-588-8655
Practice Address - Fax:609-588-8016
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00010500171100000X
NY001074-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist