Individual provider · Type 1 NPI

Charles Dussault, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1215328620 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 732-5500 Map

Mailing address

20 Chapel St Apt A803
Brookline, MA 02446-7412

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X261433 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215328620

Charles Dussault, MD's National Provider Identifier is 1215328620, issued on Feb 8, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Feb 8, 2015.