Individual
BRIGID CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3452
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
244626
MA
207UN0901X
Nuclear Cardiology Physician
244626
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095594A
—
MA
Enumeration date
01/22/2007
Last updated
03/16/2022
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