| Dr Charles D Allen, MD | |
| 49 Governors Ave, Medford, MA 02155-3017 | |
| (781) 395-6122 | |
| (781) 395-2595 | 
| Full Name | Dr Charles D Allen | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 49 Governors Ave, Medford, Massachusetts | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720063142 | NPI | - | NPPES | 
| B53097 | Other | MA | BCBS | 
| 040486 | Other | MA | TUFTS | 
| 8475 | Other | MA | HARVARD PIL | 
| 2058502 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 40486 (Massachusetts) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Charles D Allen, MD 49 Governors Ave, Medford, MA 02155-3017 Ph: (781) 395-6122 | Dr Charles D Allen, MD 49 Governors Ave, Medford, MA 02155-3017 Ph: (781) 395-6122 | 
| Kenneth R Devellis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 92 High St, Suite 32, Medford, MA 02155 Phone: 781-395-5250 | |
| Catherine S Tucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Governors Ave, Hallmark Health Medical Associates Inc, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 |