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Individual

DR. CHARLES RICHARD FORBES III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 MYRON ST STE A, WEST SPRINGFIELD, MA 01089-1485
(603) 960-9123
Mailing address
PO BOX 260, MOAK ASSOCIATES, WESTBOROUGH, MA 01581-0260
(603) 960-9123
(508) 870-9793

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41831
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0024616
NEIGHBORHOOD HEALTH PLAN
MA
05
110006321A
MA
01
15-00677
EVERCARE
MA
01
701909
TUFTS MEDICARE PREFERRED
MA
01
B39206
FEDERAL BC/BS
MA
05
O177369
MA
Enumeration date
09/12/2005
Last updated
05/10/2018
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