Individual
DR. CHARLES WILLIAM POPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
385 CONCORD AVE, SUITE 204, BELMONT, MA 02478-3083
(617) 484-4408
(617) 484-4478
Mailing address
385 CONCORD AVE, SUITE 204, BELMONT, MA 02478-3083
(617) 484-4408
(617) 484-4478
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
44333
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
44333
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44333
STATE MEDICAL LICENSE
MA
Enumeration date
10/25/2005
Last updated
03/07/2023
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