Individual
DR. CHARLES V GUIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 MEETING HOUSE LN, BLDG #2 SUITE 403, SOUTHAMPTON, NY 11968-5087
(631) 283-2100
(631) 283-5731
Mailing address
PO BOX 2340, SOUTHAMPTON, NY 11969-2340
(631) 283-2100
(631) 283-5731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1683301
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
1683301
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00982861
—
NY
Enumeration date
05/02/2006
Last updated
01/28/2010
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