Individual
DR. CHARLOTTE A MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6832
(617) 730-0911
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6832
(617) 730-0911
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
77816
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157320
—
MA
Enumeration date
09/26/2006
Last updated
08/14/2007
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