Individual
DR. CHARLES P SORRENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
266 ESSEX ST, SUITE 2, SALEM, MA 01970
(978) 741-9011
(978) 741-8610
Mailing address
266 ESSEX ST, SUITE 2, SALEM, MA 01970
(978) 741-9011
(978) 741-8610
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4598
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005740209
AETNA
—
01
—
W04478
BCBS MA
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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