Individual
MR. CARLOS ALBERTO COLON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
175 CRESCENT AVE, CHELSEA, MA 02150-3009
(617) 889-8779
Mailing address
128 WASHINGTON AVE, CHELSEA, MA 02150-3920
(617) 669-9362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98640
MA
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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