Individual
CHARLES E. CUTTIC
Active
Individual
CHARLES E. CUTTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA000781L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA000751L
LICENSE
PA
Enumeration date
12/11/2008
Last updated
12/11/2008
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