Organization
CARNEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MCTIGUE (VICE PRESIDENT)
(617) 562-5485
Entity
Organization
Contact information
Practice address
77 WARREN STREET-PROVIDER ENROLLMENT, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Mailing address
77 WARREN STREET-PROVIDER ENROLLMENT, BRIGHTON, MA 02135
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9782826
—
MA
Enumeration date
09/07/2006
Last updated
08/22/2020
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