Individual
DR. CHARLES SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VETERANS MEMORIAL PKWY, BUILDING 6, EAST PROVIDENCE, RI 02914-5300
(401) 435-5533
(401) 431-2555
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
07463
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110123708
RR MEDICARE
RI
01
—
709004158
GROUP MEDICARE
RI
05
—
9006469
—
RI
Enumeration date
09/29/2005
Last updated
02/04/2011
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