Individual
CHARLES E AGBELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(401) 499-7754
Mailing address
44 MOUNTAINVIEW DR, PITTSFIELD, MA 01201-5710
(401) 219-0307
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2305535
MA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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