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Contact Information

JEAN B CHARLES, MD
2110 DORCHESTER AVE
SUITE 306
DORCHESTER CENTER, MA02124-5628
 Phone: 617-296-1828
 Fax: 617-296-5717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JEAN B CHARLES · (Male)

NPI # 1396940326
Status Active
Credentials MD
Entity Individual
Enumeration date 06/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 056584
  • MA Medicaid 3071413
Hospital affiliation(s) Not Available
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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