Search › Connecticut › 363LF0000X
Charles Staples
NPI 1598122947 · on the registry since 2016 · sole proprietor
Practice
- Address
- 205 Sylvan Lake Rd
Watertown, CT 06779 - Phone
- (203) 260-8744
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-01-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut