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Individual
CHARLOTTE A KASSAB
Active
Individual
CHARLOTTE A KASSAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
015235
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041321
ANTHEM
—
01
—
2646963
AETNA
—
05
—
324080099
—
ME
Enumeration date
03/15/2006
Last updated
09/28/2011
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