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Individual

DR. CAROLYN J. SPORN I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8100
(781) 744-5213
Mailing address
LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 01805-0001
(781) 744-8100
(781) 744-5213

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
253295
MA
207P00000X
Emergency Medicine Physician
D0058461
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
386060400
MD
Enumeration date
05/26/2006
Last updated
03/28/2019
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