Active NPIIndividual provider

Dr. Charles D Allen, MD

Surgery in Medford, Massachusetts

NPI Number1720063142
Practice location
49 Governors Ave, Medford, MA 02155-3017
Fax
781-395-2595
Last updated
July 13, 2026

Charles D Allen is a Surgery based in Medford, MA. Charles D Allen practices in Medford, MA and has the professional credentials of MD. The NPI Number for Charles D Allen is 1720063142 and holds a License No. 40486 (MA). The current practice location address for Charles D Allen is 49 Governors Ave, Medford, MA 02155-3017 and can be reached out via phone at 781-395-6122 and via fax at 781-395-2595.

Provider Profile Details

NPI Number
1720063142
Provider Name
Charles D Allen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
49 Governors Ave, Medford, MA 02155-3017
Phone Number
781-395-6122
Fax Number
781-395-2595
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
49 Governors Ave
Medford, MA 02155-3017
Zip
02155-3017
Phone Number
781-395-6122
Fax Number
781-395-2595
Medford, MA 02155Get directions →

Provider Business Mailing Address Details

Address
49 Governors Ave
Medford, MA 02155-3017
City
Medford
State
MA
Zip
02155-3017
Phone Number
781-395-6122
Fax Number
781-395-2595

License Information

License Number
40486
License State
MA
Taxonomy
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Charles D Allen, MD?

The NPI number of Dr. Charles D Allen, MD is 1720063142. It was assigned on December 8, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Charles D Allen, MD?

Dr. Charles D Allen, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in MA under license number 40486.

Where does Dr. Charles D Allen, MD practice?

The practice location is 49 Governors Ave, Medford, MA 02155-3017. The office can be reached at 781-395-6122 (phone) or 781-395-2595 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720063142 directly on the NPPES registry website.

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