MEDICARE: KARIN INGRID HJALMARSON MD

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
1	207R00000X	Internal Medicine Physician	224129	MA
2	207RI0200X	Infectious Disease Physician	ME109711	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811987225
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN INGRID HJALMARSON MD

Provider Business Mailing Address
First Line	:	822 BOYLSTON ST
Second Line	:	SUITE 102
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2595
Country	:	US
Telephone Number	:	617-396-8866
Fax Number	:	617-505-6102

Provider Business Practice Location Address
First Line	:	822 BOYLSTON ST
Second Line	:	SUITE 102
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2595
Country	:	US
Telephone Number	:	617-396-8866
Fax Number	:	617-505-6102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	11/10/2015

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