Provider Demographics
NPI:1194732990
Name:HELM, CHARLES BRIAN (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:BRIAN
Last Name:HELM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:303 LINCOLN DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2115
Mailing Address - Country:US
Mailing Address - Phone:203-284-1060
Mailing Address - Fax:203-284-3161
Practice Address - Street 1:185 CENTER ST
Practice Address - Street 2:SUITE H
Practice Address - City:WALLINGFORD
Practice Address - State:CT
Practice Address - Zip Code:06492-4100
Practice Address - Country:US
Practice Address - Phone:203-284-1060
Practice Address - Fax:203-284-3161
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT025660207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD03067Medicare UPIN