Individual
DR. CHARLES R. WULFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
LP03686
RI
2084P0800X
Psychiatry Physician
LP03686
RI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
286669
MA
2084P0804X
Child & Adolescent Psychiatry Physician
LP03686
RI
Other
Enumeration date
05/20/2016
Last updated
09/10/2021
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