Individual
CHARLES R BRIDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 PINE ST, AUBURNDALE, MA 02466-1308
(610) 247-2986
(704) 372-1249
Mailing address
106 PINE ST, AUBURNDALE, MA 02466-1308
(610) 247-2986
(704) 372-1249
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2011-01426
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2011-01426
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD031335E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001588610
—
PA
05
—
5917485
—
NC
05
—
NC1469
—
SC
Enumeration date
07/17/2006
Last updated
05/29/2019
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