National Provider Identifier

Charles D Maskiell, M.D.

Charles D Maskiell, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Rochester, NY and a listed phone number of (585) 334-0130.

NPI 1295763472Rochester, NYFamily Medicine Physician

Profile Overview

NPI
1295763472
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 28, 2006
Last Updated
April 18, 2012

Practice Location

  • 200 Red Creek Dr
  • Suite 100
  • Rochester, NY 14623-5264

Phone: (585) 334-0130

Mailing Address

  • PO Box 278980
  • Rochester, NY 14627-8980

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1295763472
Entity Type
Individual
Last Name
Maskiell
First Name
Charles
Middle Name
D
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
PO Box 278980
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14627-8980
Mailing Country
US
Practice Street Address
200 Red Creek Dr
Practice Address Line 2
Suite 100
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14623-5264
Practice Country
US
Practice Phone
(585) 334-0130
Practice Fax
(585) 334-0213
Enumeration Date
June 28, 2006
Last Updated
April 18, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
000911908001 (NY, Healthnow), MD142Z (NY, Preferred Care), 3136 (NY, Bc/Bs), 391785 (NY, Mvp), 4345333 (NY, Aetna), P010130694 (NY, Blue Choice), 5900780 (NY, Ghi)