Individual
CHARLES MININGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOSTON MEDICAL CTR PL FL PLACE1, BOSTON, MA 02118-2908
(847) 570-2000
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101819
MA
Other
Enumeration date
08/24/2011
Last updated
12/03/2025
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