Individual
MARY F. CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 DARTMOUTH ST, BOSTON, MA 02116-5123
(617) 859-5250
(617) 859-5250
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
220644
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033055
NEIGHBORHOOD HEALTH PLAN
MA
05
—
2081059
—
MA
01
—
465568
TUFTS HEALTH PLAN
MA
01
—
AA15176
HARVARD PILGRIM
MA
01
—
J27834
BLUE CROSS
MA
Enumeration date
04/28/2006
Last updated
06/20/2011
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