SearchMassachusetts101YM0800X

Charles Smith

NPI 1649630633 · on the registry since 2016 · sole proprietor

Practice

Address
28 Dalton Pl
Springfield, MA 01109
Phone
(413) 885-0416
Organisation at this address
The Men Of Honor Youth Mentorship Program Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2016-03-03

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 Massachusetts