Individual
CAROLINA ELENA REVERON-ARIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-1552
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
288353
MA
2085R0202X
Diagnostic Radiology Physician
31406
PR
Other
Enumeration date
07/23/2014
Last updated
06/11/2024
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