Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Tisch, MD

Individual provider Emergency Medicine Physician · NPI 1124721121

Charlotte Tisch, MD is an Emergency Medicine in Worcester, Massachusetts. Graduated from University of Massachusetts Medical School in 2023, 3 years ago. Licensed in Massachusetts.

Years since qualifying
3
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 1023576 (MA)

Record details

NPI number1124721121
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2023
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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