Individual
CHARLES C PAO
Active
Individual
CHARLES C PAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA150435
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-01792
UNITED HEALTHCARE
MA
01
—
110159991
RAILROAD MEDICARE
MA
01
—
150435
TUFTS
MA
05
—
3153461
—
MA
01
—
3505250002
CIGNA
MA
01
—
65669
HARVARD PILGRIM
MD
01
—
J16706
BLUESHIELD OF MA
MA
Enumeration date
09/13/2006
Last updated
06/26/2019
Update your record
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