Individual
AMY R O'BRIEN CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL, HUNNEWELL BLDG PAVILION 129, BOSTON, MA 02115-5724
(401) 595-0370
Mailing address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL, HUNNEWELL BLDG PAVILION 129, BOSTON, MA 02115-5724
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
287945
MA
207LP3000X
Pediatric Anesthesiology Physician
287945
MA
208000000X
Pediatrics Physician
287945
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2016
Last updated
11/23/2022
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