Allen, Charles D

Allen, Charles D is an individual health care provider with primary practice located at 49 Governors Ave , Medford MA 02155-3017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Allen, Charles D can be contacted via phone (781) 395-6122.

Contact Information

Primary practice address
49 Governors Ave Medford MA 02155-3017
Phone: (781) 395-6122
Fax: (781) 395-2595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 40486 Massachusetts

Profile Details

NPI number 1720063142
LBN Legal business name Allen, Charles D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720063142 NPPES
Massachusetts Other B53097 BCBS
Massachusetts Other 040486 BCBS
Massachusetts Other 8475 BCBS
Massachusetts MEDICAID 2058502 BCBS

Popular Providers