Individual
CHARLES A HERGRUETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BWH - DIVISION OF PLASTIC AND RECONSTRUCTIVE SURGERY, BOSTON, MA 02115-6110
(617) 983-4550
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
53230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6187382
—
MA
Enumeration date
04/25/2006
Last updated
07/16/2012
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