Organization
CHARLES MASTER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P MATER MD (PRESIDENT)
(860) 792-1777
Entity
Organization
Contact information
Practice address
4310 KISSENA BLVD, APT 15D, FLUSHING, NY 11355-2922
(860) 792-1777
Mailing address
4310 KISSENA BLVD, APT 15D, FLUSHING, NY 11355-2922
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
04/17/2013
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