Healthcare Provider Details

I. General information

NPI: 1164543252
Provider Name (Legal Business Name): JULIA F. CHARLES M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ORTHOPAEDICS AND ARTHRITIS CENTER 60 FENWOOD ROAD
BOSTON MA
02115
US

IV. Provider business mailing address

111 CYPRESS ST
BROOKLINE MA
02445-6002
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-5325
  • Fax: 617-732-5766
Mailing address:
  • Phone: 857-307-0896
  • Fax: 508-718-4011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number246399
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberA87116
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number246399
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: