Individual
CHARLES R GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 HIGH ST STE 102, LEWISTON, ME 04240-7634
(207) 784-4539
(207) 784-2868
Mailing address
12 HIGH ST STE 102, LEWISTON, ME 04240-7634
(207) 784-4539
(207) 784-2868
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9234
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12080
—
ND
Enumeration date
10/10/2006
Last updated
02/15/2021
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