Individual
LISA B CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, STE 9A, SHAPIRO BLDG, BOSTON, MA 02118-3549
(617) 414-4639
(617) 414-4094
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
157281
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
157281
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110060027A
—
MA
05
—
3117948
—
NH
Enumeration date
12/14/2005
Last updated
06/23/2023
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