Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles E Moisan Jr., MD

Individual provider Internal Medicine Physician · NPI 1538114855

Charles E Moisan Jr., MD is an Internal Medicine Physician in Elizabethtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

74 Park St
Elizabethtown, NY 12932-2303
Phone: (518) 873-6340
Fax: (518) 873-2499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 102273 (NY)

Record details

NPI number1538114855
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 24, 2006
Last updated in NPPESSeptember 14, 2018
Mailing address74 Park St, Elizabethtown, NY 12932-2303

Other providers in Elizabethtown