Organization
CHARLES MCCAFFERTY, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MCCAFFERTY MD (OWNER)
(651) 227-6369
Entity
Organization
Contact information
Practice address
977 SUMMIT AVE, SAINT PAUL, MN 55105-3032
(651) 227-6369
(651) 227-9545
Mailing address
977 SUMMIT AVE, SAINT PAUL, MN 55105-3032
(651) 227-6369
(651) 227-9545
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
17268
MN
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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