Active NPIIndividual provider

Charles D Malis, MD

Family Medicine in Mashpee, Massachusetts

NPI Number1891766176
Practice location
107 Commercial St, Mashpee, MA 02649
Fax
508-477-3090
Last updated
June 15, 2018

Charles D Malis is a Family Medicine based in Mashpee, MA. Charles D Malis practices in Mashpee, MA and has the professional credentials of MD. The NPI Number for Charles D Malis is 1891766176 and holds a License No. 58602 (MA). The current practice location address for Charles D Malis is 107 Commercial St, Mashpee, MA 02649 and can be reached out via phone at 508-477-7090 and via fax at 508-477-3090.

Provider Profile Details

NPI Number
1891766176
Provider Name
Charles D Malis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
107 Commercial St, Mashpee, MA 02649
Phone Number
508-477-7090
Fax Number
508-477-3090
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 27, 2006
Last Update Date
June 15, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Commercial St
Mashpee, MA 02649
Zip
02649
Phone Number
508-477-7090
Fax Number
508-477-3090
Mashpee, MA 02649Get directions →

Provider Business Mailing Address Details

Address
56 Winthrop St
Unit 1 The Concord Clinic
Concord, MA 01742-2076
City
Concord
State
MA
Zip
01742-2076
Phone Number
978-369-2266
Fax Number
978-369-5205

License Information

License Number (1)
58602
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X
License Number (2)
58602
License State (2)
MA
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Charles D Malis, MD?

The NPI number of Charles D Malis, MD is 1891766176. It was assigned on January 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Charles D Malis, MD?

Charles D Malis, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 58602.

Where does Charles D Malis, MD practice?

The practice location is 107 Commercial St, Mashpee, MA 02649. The office can be reached at 508-477-7090 (phone) or 508-477-3090 (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 1891766176 directly on the NPPES registry website.

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