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NPI Code Detail

MEDICARE: CAROLE E ALLEN M.D.

MEDICARE: CAROLE E ALLEN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician34444MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10020476OTHERMAHARVARD PILGRIM
2034444OTHERMATUFTS HEALTHCARE
30027277OTHERMANEIGHBORHOOD HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5M09252OTHERMABLUE CROSS

General Provider Information

NPI Number : 1275518235
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLE E ALLEN M.D.
Provider Business Mailing Address
First Line : 147 MILK ST
Second Line : PROVIDER ENROLLMENT - 9TH FLOOR
City : BOSTON
State : MA
Zip : 02109-4806
Country : US
Telephone Number : 617-559-8053
Fax Number : 617-421-3487
Provider Business Practice Location Address
First Line : 40 HOLLAND ST
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2705
Country : US
Telephone Number : 617-629-6000
Fax Number : 617-629-6070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 07/08/2007

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Directions to “ CAROLE E ALLEN M.D.” Practice Location

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