Individual
CHARLES WINGARD CARL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 BOSTON POST RD, STE 205, WAYLAND, MA 01778-2435
(508) 358-2050
(508) 358-4481
Mailing address
16 BOSTON POST RD, STE 205, WAYLAND, MA 01778-2435
(508) 358-2050
(508) 358-4481
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031076
TUFTS
MA
05
—
3011739
—
MA
01
—
33616
CIGNA
MA
01
—
4130663
AETNA
—
01
—
J05795
BCBS
—
Enumeration date
07/10/2006
Last updated
07/08/2007
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