Individual
DR. CHARLES D ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
49 GOVERNORS AVE, MEDFORD, MA 02155-3017
(781) 395-6122
(781) 395-2595
Mailing address
49 GOVERNORS AVE, MEDFORD, MA 02155-3017
(781) 395-6122
(781) 395-2595
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40486
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040486
TUFTS
MA
05
—
2058502
—
MA
01
—
8475
HARVARD PIL
MA
01
—
B53097
BCBS
MA
Enumeration date
12/08/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us