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Individual

DR. TODD H CARRANZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(508) 408-9200
(857) 241-5492
Mailing address
960 MASSACHUSETTS AVE., FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
215674
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110100336A
MA
Enumeration date
06/12/2006
Last updated
12/18/2023
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