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Charles Staples

Charles Staples is a health care provider specializes in Nurse Practitioner. He is associated with medical group practice NORTHEAST MEDICAL GROUP INC and is affiliated with hospital of Bridgeport Hospital.

profile-icon Basic Information

Practice Location 205 Sylvan Lake Rd, Watertown, CT 06779-1450, US
Practice Location Phone203-260-8744
Practice Location Fax
GenderMale
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2015
NPI ?1598122947
PECOS ID9830482348
Enrollment IDI20160721000307
Entity TypeIndividual
Enumeration Date ? Jan 15, 2016
Last Update Date ? Jan 15, 2016
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Charles Staples

SpecialtySpecializationLicenseLicense State
Nurse PractitionerFamily F1015603Connecticut

Medicare-icon Medicare Participation of Charles Staples

Accepts Medicare Assignment
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Charles Staples

Medical Group PracticeNortheast Medical Group Inc
Affiliation 1 Bridgeport Hospital