Anderson, Charles Leon

Anderson, Charles Leon is an individual health care provider with primary practice located at 127 University Ave , Westwood MA 02090. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Anderson, Charles Leon can be contacted via phone (781) 686-1608.

Contact Information

Primary practice address
127 University Ave Westwood MA 02090
Phone: (781) 686-1608
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 75583 Massachusetts

Profile Details

NPI number 1720072390
LBN Legal business name Anderson, Charles Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Dec 9th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720072390 NPPES
Massachusetts MEDICAID 3127991

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