Individual
DR. LELA CAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 PARKMAN ST, WANG 555, BULFINCH MEDICAL GROUP, BOSTON, MA 02114-3117
(617) 724-6670
(617) 724-6632
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-6670
(617) 724-6632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
75898
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075898
TUFTS HEALTH PLAN
MA
05
—
3091988
—
MA
01
—
J12465
BCBS MA
MA
Enumeration date
11/29/2005
Last updated
02/17/2014
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