Individual
CHARLES MICHAEL SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 CULLEN HILL ROAD, HUNTINGTON, MA 01050
(413) 320-5642
Mailing address
20 CULLEN HILL ROAD, HUNTINGTON, MA 01050
(413) 320-5642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
77789
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376218
—
NM
Enumeration date
04/27/2006
Last updated
07/18/2011
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