Individual
CHARLES BADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 FALMOUTH RD STE 101, HYANNIS, MA 02601-2324
(774) 552-3209
Mailing address
1030 FALMOUTH RD STE 101, HYANNIS, MA 02601-2324
(774) 552-3209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1022954
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2022
Last updated
06/30/2025
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