Individual
DR. JOANN CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRICS, WORCESTER, MA 01655-0002
(774) 442-3028
(774) 442-6740
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
238318
MA
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
238318
MA
Other
Enumeration date
07/06/2006
Last updated
04/18/2017
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