Individual
CARINE DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST # F600, BOSTON, MA 02114-2621
(617) 724-9509
Mailing address
55 FRUIT ST # F600, BOSTON, MA 02114-2621
(617) 724-9509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
278682
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
278682
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
07/13/2020
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