Individual
DR. CHARLES MCGREGOR TROY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
75 HERRICK STREET, PARKHURST MEDICAL BLDG SUITE 109, BEVERLY, MA 01915-5900
(978) 777-1546
(978) 777-1546
Mailing address
75 HERRICK STREET, PARKHURST MEDICAL BLDG SUITE 109, BEVERLY, MA 01915-5900
(978) 777-1546
(978) 777-1546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100579A
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06350220
MAGELLAN HEALTH PLAN
MA
01
—
718135
TUFRS HEALTH PLAN
MA
01
—
P01451
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/02/2007
Last updated
07/08/2007
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