Individual
CHARLES K. BRUMMER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 KING ST, NORTHAMPTON, MA 01060-3284
(413) 585-8880
(413) 585-8879
Mailing address
94 KING ST, NORTHAMPTON, MA 01060-3284
(413) 585-8880
(413) 585-8879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
052204
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
771181
TUFTS HEALTH PLAN
MA
01
—
J02865
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
01/23/2006
Last updated
07/08/2007
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