Individual
DR. BRIAN CARMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY ST, SHAPIRO 3RD FLOOR, SUITE A, BOSTON, MA 02118-2526
(617) 414-4861
(617) 414-3617
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
239564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085593A
—
MA
Enumeration date
05/07/2008
Last updated
06/27/2014
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