Individual
DR. CHARLES MASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4310 KISSENA BLVD, FLUSHING, NY 11355-2922
(860) 792-1777
Mailing address
4310 KISSENA BLVD, FLUSHING, NY 11355-2922
(860) 792-1777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
211094-1
NY
208D00000X
General Practice Physician
211094
NY
Other
Enumeration date
09/09/2005
Last updated
05/11/2015
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