Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 77999 | MA |
NPI | 1023043874 |
---|---|
Provider Name | Charles Joseph Dow |
First Address | Boston, MA 02120-2847 |
Second Address | Roxbury Crossing, MA 02120-2847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 10/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014371 | NEIGHBORHOOD HEALTH PLAN (01) | MA |
0099832 | AETNA (01) | MA |
25-00469 | UNITED HEALTHCARE (01) | MA |
28771 | FALLON (01) | MA |
304011 | FIRST SENIORITY (01) | MA |
304011 | HARVARD PILGRIM (01) | MA |
3130789 | (05) | MA |
795212 | SECURE HORIZON (01) | MA |
795212 | TUFTS (01) | MA |
B20498801 | CIGNA (01) | MA |
E52739 | (02) | |
J30900 | BLUE CROSS / BLUE SHIELD (01) | MA |
P00426745 | MEDICARE RAILROAD (01) | MA |