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Contact Information

CHARLES M MASSERMAN, MD
1064 E MAIN ST
SUITE 301
MERIDEN, CT06450-4898
 Phone: 203-634-3636
 Fax: 203-634-1972
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES M MASSERMAN · (Male)

NPI # 1972502920
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2005
Last updated 12/27/2012 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 027029
  • CT Medicaid 001270298
Hospital affiliation(s)
  • MIDSTATE MEDICAL CENTER - (Acute Care)
    435 LEWIS AVE
    MERIDEN, CT 06450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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