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Individual

CHARLES A GARABEDIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
86 BAKER AVE EXTENSION, CONCORD HILLSIDE MEDICAL ASSOCIATES, CONCORD, MA 01742-2188
(978) 287-9400
(978) 287-9408
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8104
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
73999
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0016156
NEIGHBOR HOOD HEALTH
MA
01
073999
TUFTS
MA
01
1202090
UNITED HEALTHCARE
MA
01
20981
HARVARD PILGRIM
MA
05
3089991
MA
01
4318317
AETNA
MA
01
J12391
BLUE CROSS
MA
Enumeration date
01/03/2006
Last updated
05/08/2009
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