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Organization

CHARLES TREY M D & ASSOCIATES P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY TREY M.D. M.P.H. (PRESIDENT)
(617) 632-9252
Entity
Organization

Contact information

Practice address
110 FRANCIS ST, SUITE 8A, BOSTON, MA 02215-5501
(617) 632-9252
(617) 632-9255
Mailing address
110 FRANCIS ST, SUITE 8A, BOSTON, MA 02215-5501
(617) 632-9252
(617) 632-9255

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
57207
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9776885
MA
01
M16263
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
10/09/2007
Last updated
04/28/2010
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