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1578644381

NPI Code Detail

MEDICARE: DR. CHARLES R MORIN MD

MEDICARE: DR. CHARLES R MORIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	80568	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578644381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES R MORIN MD

Provider Business Mailing Address
First Line	:	549 COLUMBIAN ST
Second Line	:	SUITE 208
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-1138
Country	:	US
Telephone Number	:	781-682-6153
Fax Number	:	781-849-9779

Provider Business Practice Location Address
First Line	:	549 COLUMBIAN ST
Second Line	:	SUITE 208
City	:	WEYMOUTH
State	:	MA
Zip	:	02190-1138
Country	:	US
Telephone Number	:	781-682-6153
Fax Number	:	781-849-9779

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	11/19/2012

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Directions to “ DR. CHARLES R MORIN MD” Practice Location

Language	Start Address	Practice Location

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