Individual
CHARLES GORDON PYE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
WEST ROXBURY VA, 1400 VFW PARKWAY, WEST ROXBURY, MA 02132
(617) 323-7700
Mailing address
2 JESTER WAY, PLYMOUTH, MA 02360
(508) 746-2610
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123107
MA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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