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Individual

CHARLES EDWARD WINGATE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 COLISEUM AVE, NASHUA, NH 03063-3292
(603) 882-9800
(603) 882-0556
Mailing address
5 COLISEUM AVE, NASHUA, NH 03063-3292
(603) 882-9800
(603) 882-0556

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
5133
NH
207W00000X
Ophthalmology Physician
57575
MA
207W00000X
Ophthalmology Physician
D5253
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82183971
NH
Enumeration date
06/14/2005
Last updated
09/07/2007
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