Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A89737 | CA |
NPI | 1033209861 |
---|---|
Provider Name | Dr. Charles Daniel Meyers |
First Address | Littleton, MA 01460-2120 |
Second Address | Jamaica Plain, MA 02130-4817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |