Charles Staples JR.
NPI #1598122947 in Watertown, Connecticut
Provider Information
- NPI Number
- 1598122947
- Entity Type
- Individual
- Name
- Charles Staples JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 15, 2016
- Last Updated
- Jan 15, 2016
Practice Location
- Address
- 205 SYLVAN LAKE RD
- City
- Watertown
- State
- Connecticut
- ZIP Code
- 06779-1450
- Phone
- (203) 260-8744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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