CHARLES STAPLES

WATERTOWN, CT
NPI1598122947
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CT  F1015603)
Enumeration Date2016-01-15
Last Update Date2016-01-15
Business Address
-- CHARLES STAPLES
205 SYLVAN LAKE RD
WATERTOWN, CT 06779-1450
Phone number: 203-260-8744
Mailing Address
-- CHARLES STAPLES
205 SYLVAN LAKE RD
WATERTOWN, CT 06779-1450
Phone number: 203-260-8744