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Individual

CHARLES JOSEPH DOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
125 PARKER HILL AVE, FOGG 430, ROXBURY CROSSING, MA 02120-2847
(617) 264-4500
(617) 232-4153
Mailing address
125 PARKER HILL AVENUE, FOGG 430, BOSTON, MA 02120-2847
(617) 264-4500
(617) 232-4153

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
77999
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014371
NEIGHBORHOOD HEALTH PLAN
MA
01
0099832
AETNA
MA
01
25-00469
UNITED HEALTHCARE
MA
01
28771
FALLON
MA
01
304011
HARVARD PILGRIM
MA
05
3130789
MA
01
795212
TUFTS
MA
01
B20498801
CIGNA
MA
01
J30900
BLUE CROSS / BLUE SHIELD
MA
01
P00426745
MEDICARE RAILROAD
MA
Enumeration date
07/11/2006
Last updated
04/10/2009
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