Individual
CHARLES DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-3874
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1022888
MA
208M00000X
Hospitalist Physician
1022888
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
MA
Other
Enumeration date
03/21/2022
Last updated
03/20/2026
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