Individual
DR. CHARLES D ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB CHB
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0002
(781) 744-8156
(781) 744-5832
Mailing address
125 PARKER HILL AVE, BOSTON, MA 02120-2847
(617) 754-6687
(617) 754-5270
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
242325
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089172A
—
MA
Enumeration date
03/19/2008
Last updated
01/11/2012
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