Individual
CHARLES P. TIFFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 BOYLSTON ST, 6TH FL, BOSTON, MA 02116-3607
(617) 414-9600
(617) 262-7015
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37348
MA
207RN0300X
Nephrology Physician
37348
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110037555A
—
MA
Enumeration date
05/18/2006
Last updated
04/10/2017
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