Individual
CARLOS F VILLAMIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CRANBERRY HL STE 303, LEXINGTON, MA 02421-7397
(781) 290-0057
(781) 290-0059
Mailing address
460 TOTTEN POND RD, C O MZI, WALTHAM, MA 02451-1906
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
152633
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
152633
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J21067
BCBS
MA
Enumeration date
11/14/2005
Last updated
07/18/2011
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