Individual
KARL ERIC HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
585 LEBANON ST, RADIOLOGY DEPARTMENT, MELROSE, MA 02176-3225
(781) 979-3120
(781) 979-3994
Mailing address
85 FERDINAND ST, MELROSE, MA 02176-1154
(781) 979-3120
(781) 979-3994
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
045803
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3008231
—
MA
Enumeration date
06/16/2006
Last updated
06/07/2012
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