Individual
CHARLES GRAHAM SMYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
360 HUNTINGTON AVE, BOSTON, MA 02115-5000
(617) 373-2772
Mailing address
360 HUNTINGTON AVE, BOSTON, MA 02115-5000
(617) 373-2772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2326836
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2326836
MA
Other
Enumeration date
08/07/2018
Last updated
08/04/2022
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