Individual
JONATHAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, YAWKEY 7E, MGH, BOSTON, MA 02114-2621
(617) 724-4000
Mailing address
55 FRUIT ST, YAWKEY 7E, MGH, BOSTON, MA 02114-2621
(617) 724-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
245780
MA
207RH0003X
Hematology & Oncology Physician
245780
MA
207RX0202X
Medical Oncology Physician
Primary
245780
MA
Other
Enumeration date
01/24/2007
Last updated
01/30/2026
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