Charles Trey M D & Associates P C

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

57207 Issued in MA

Legal business name

CHARLES TREY M D & ASSOCIATES P C

Practice address

110 Francis St
Suite 8a
Boston, MA 02215-5501

Phone

(617) 632-9252

Fax

(617) 632-9255

NPI assigned

Oct 9, 2007

Last updated

Apr 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gary Trey, M.D. M.P.H.

Title

President

Phone

(617) 632-9252

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1962690461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "SUITE 8A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9252",
            "fax_number": "617-632-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 FRANCIS ST",
            "address_2": "SUITE 8A",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155501",
            "telephone_number": "617-632-9252",
            "fax_number": "617-632-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES TREY M D & ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "TREY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-632-9252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. M.P.H."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MA",
            "license": "57207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9776885",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MA",
            "identifier": "M16263",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Charles Street Family Chiropractic, Inc.
• Antoinette Jasmine Charles
• Berline Charles
• Evena Charles, RN
• Julia F. Charles, M.D., PH.D.
• Junnie Angelina Charles, ARNP

• Exclusive Provider Organization in Boston, MA
• Providers in Boston, MA by specialty
• Exclusive Provider Organization in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.