Individual
DR. CHARLES B HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 8, INFECTIOUS DISEASE ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-3545
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
210967
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060591
—
MA
01
—
469137
TUFTS HEALTH PLAN
MA
01
—
J27444
BCBS MA
MA
Enumeration date
12/14/2005
Last updated
11/17/2010
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