Pu, Charles T

Pu, Charles T is an individual health care provider with primary practice located at 100 Charles River Plaza Suite 501 Cpz 502, Boston MA 02114-2723. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Pu, Charles T can be contacted via phone (617) 726-2066.

Contact Information

Primary practice address
100 Charles River Plaza Suite 501 Cpz 502 Boston MA 02114-2723
Fax: (617) 228-6306
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 73771 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 73771 Massachusetts

Profile Details

NPI number 1508856691
LBN Legal business name Pu, Charles T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jul 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508856691 NPPES
Massachusetts Other 073771 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3099466 TUFTS HEALTH PLAN
Massachusetts Other J11653 TUFTS HEALTH PLAN

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