Individual
CHARLES M MASSERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1064 E MAIN ST, SUITE 301, MERIDEN, CT 06450-4898
(203) 634-3636
(203) 634-1972
Mailing address
1064 E MAIN ST, SUITE 301, MERIDEN, CT 06450-4898
(203) 634-3636
(203) 634-1972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027029
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001270298
—
CT
Enumeration date
07/20/2005
Last updated
12/27/2012
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