Organization
CHARLES A SWANSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A SWANSON M.D. (DOCTOR OF DERMATOLOGY)
(978) 462-4401
Entity
Organization
Contact information
Practice address
21 HIGHLAND AVE, SUITE 3, NEWBURYPORT, MA 01950-3872
(978) 462-4401
(978) 462-0145
Mailing address
21 HIGHLAND AVE, STE 3, NEWBURYPORT, MA 01950-3872
(978) 462-4401
(978) 462-0145
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
41349
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110000930A
—
MA
Enumeration date
04/16/2015
Last updated
04/16/2015
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