Provider Demographics
NPI:1396712311
Name:FUCHS, CHARLES STEWART (MD MPH)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:STEWART
Last Name:FUCHS
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CEDAR ST
Mailing Address - Street 2:WWW205
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06520
Mailing Address - Country:US
Mailing Address - Phone:203-785-4371
Mailing Address - Fax:203-785-4116
Practice Address - Street 1:333 CEDAR ST
Practice Address - Street 2:YALE MEDICAL SCHOOL
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06510-3206
Practice Address - Country:US
Practice Address - Phone:203-785-4672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60552207RH0000X, 207RX0202X
CT56014207RH0000X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8701139OtherCIGNA
J09302OtherMA BCBS
2063580OtherAETNA US HEALTHCARE
3040001OtherUNITED HEALTH CARE
3070590OtherMASSHEALTH MA MEDICAID
900001124OtherRR MEDICARE DFCI
E34199DFOtherHPHC DFCI ONLY
060552OtherTUFTS
45881OtherFALLON COMMUNITY HEALTH
E34199Medicare UPIN