Organization
CHARLES M. HINES, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M HINES MD (PRESIDENT)
(413) 531-1158
Entity
Organization
Contact information
Practice address
101 INGELL ROAD, CHESTER, MA 01011
(413) 531-1158
Mailing address
PO BOX 384, CHESTER, MA 01011-0384
(413) 531-1158
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
77820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9730401
—
MA
01
—
M18336
BCBS
MA
Enumeration date
07/01/2006
Last updated
04/05/2011
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