Individual
DR. CHARLES MINER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 POST RD, FIRST FLOOR, DARIEN, CT 06820-5935
(203) 276-4801
(203) 276-4808
Mailing address
1500 POST RD, FIRST FLOOR, DARIEN, CT 06820-5935
(203) 276-4801
(203) 276-4808
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23606
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236066
—
CT
01
—
110218045
RAILROAD MEDICARE
CT
Enumeration date
07/11/2006
Last updated
01/10/2017
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