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Individual

DR. CHARLES HENRY SALEM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
345 ELM ST, BENNINGTON, VT 05201-2265
(802) 447-7591
(802) 447-3858
Mailing address
21 STONEHEDGE DR, BENNINGTON, VT 05201-2360
(802) 447-0465

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042-0009303
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OVN1369
VT
Enumeration date
06/22/2005
Last updated
07/08/2007
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