person
Charles Callahan, MD
Pediatric Emergency Medicine (Pediatrics) Physician in Providence, Rhode Island
NPI 1477577302

Charles Callahan is a Pediatric Emergency Medicine (Pediatrics) Physician based in Providence, RI and is specialized in Pediatric Emergency Medicine. Charles Callahan practices in Providence, RI and has the professional credentials of MD. The NPI Number for Charles Callahan is 1477577302 and holds a License No. MD10524 (Rhode Island).

The current practice location address for Charles Callahan is 593 Eddy St, Providence, RI and can be reached out via phone at 401-854-2504 and via fax at 401-854-2519. You can also correspond with Charles Callahan through the mailing address at PO BOX 9484, PROVIDENCE, RI - 02940-9484 (mailing address contact number: 401-854-2500).

Location: 593 Eddy St, Providence, RI, 02940-9484
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Provider Profile Details
NPI Number
1477577302
Provider Name
Charles Callahan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 02940-9484
Phone Number
401-854-2504
Fax Number
401-854-2519
Provider Enumeration Date
07/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
939025129 01 RI RI MEDICARE GROUP NUMBER
007008870 01 RI RI MEDICARE
1477577302 01 RI NPI
01/27/2009 01 RI TUFTS
12/14/2006 01 RI NHPRI
3156567 05 MA
CC23905 05 RI
01-27-2009 01 MA TUFTS HEALTH PLAN
04/15/2009 01 RI UNITED HEALTHCARE
408343 01 RI BCBSRI
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-854-2504
Fax Number
401-854-2519
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-854-2504
Fax Number
401-854-2519
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
License No.
MD10524 (Rhode Island)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
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