Individual
CHARLES WINGARD CARL JR.
Active
Individual
CHARLES WINGARD CARL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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