Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES EDWARD KORDULA, MD
Active Sole ProprietorCHARLES EDWARD KORDULA, MD is a General Practice healthcare provider located in WOODCLIFF LAKE, New Jersey. NPI 1578999116 is currently active in the NPPES registry. Verify at CMS.
General Practice · WOODCLIFF LAKE, NJ
Registration Details
- NPI Number
- 1578999116
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2013 (12.947554032117 yrs)
- Last Updated
- Sep 14, 2013
- Licenses
-
25MA03586200 (NJ)25MA03586200 (NJ)25MA03586200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9 ELM PLWOODCLIFF LAKE, NJ, 076778013Browse NJ providers · Browse ZIP 07677
- Phone
- 2019300422
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Thoracic Surgery (Cardiothoracic Vascular)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.