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Individual

DR. CHARLES C WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
40 CHURCH AVE, STE 201, WAREHAM, MA 02571-2093
(508) 295-3193
(508) 295-4635
Mailing address
40 CHURCH AVE, STE 201, WAREHAM, MA 02571-2093
(508) 295-3193
(508) 295-4635

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
53631
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110071159A
MA
Enumeration date
06/23/2005
Last updated
02/28/2014
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