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Individual

DR. CHARLES VAN BARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
844 BOULEVARD ST, DOVER, OH 44622-2008
(330) 473-6615
(330) 431-4352
Mailing address
659 BOULEVARD ST, DOVER, OH 44622-2026
(330) 602-0767
(330) 365-3831

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
34-005175
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0812535
OH
Enumeration date
06/14/2006
Last updated
02/27/2023
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