Hergrueter, Charles A

Hergrueter, Charles A is an individual health care provider with primary practice located at 75 Francis St Bwh - Division Of Plastic And Reconstructive Surgery, Boston MA 02115-6110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Hergrueter, Charles A can be contacted via phone (617) 983-4550.

Contact Information

Primary practice address
75 Francis St Bwh - Division Of Plastic And Reconstructive Surgery Boston MA 02115-6110
Phone: (617) 983-4550
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 53230 Massachusetts

Profile Details

NPI number 1972569143
LBN Legal business name Hergrueter, Charles A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 16th, 2012 - about 12 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 1972569143 NPPES
Massachusetts MEDICAID 6187382

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