Provider Demographics
NPI:1932393063
Name:MCCABE, CHARLES MICHEAL (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:MICHEAL
Last Name:MCCABE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CHESTER AVE UNIT #660
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057
Mailing Address - Country:US
Mailing Address - Phone:856-866-0711
Mailing Address - Fax:856-344-1887
Practice Address - Street 1:1000 S. LENOLA RD
Practice Address - Street 2:STE 205 TALL OAKS BLDG I
Practice Address - City:MAPLE SHADE
Practice Address - State:NJ
Practice Address - Zip Code:08052
Practice Address - Country:US
Practice Address - Phone:856-866-0711
Practice Address - Fax:856-344-1887
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-31
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00382400111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation