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Contact Information

CHARLES A ANDERSON, MD
1225 CAMPBELL WAY
STE 201
BREMERTON, WA98310-2623
 Phone: 360-377-1355
 Fax: 360-377-1558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES A ANDERSON · (Male)

NPI # 1669439527
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2006
Last updated 11/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 67273
  • LA License # MD.200301
  • WA License # MD00046401
  • GA Medicaid 003121160A
  • GA Medicaid 003121160B
  • WA Medicaid 1015838
Hospital affiliation(s)
  • HARRISON MEDICAL CENTER - (Acute Care)
    2520 CHERRY AVENUE
    BREMERTON, WA 98310
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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