Individual
DR. KARL J KARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
732 HARRISON AVE, 3RD FLOOR, BOSTON, MA 02118-2309
(617) 638-5600
(617) 638-7228
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
47636
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
47636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110043465A
—
MA
Enumeration date
08/22/2005
Last updated
10/25/2017
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