Individual
DR. WILLIAM DEAN CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT ST, CARDIAC UNIT ASSOCIATES YAW5, BOSTON, MA 02114-2621
(617) 724-6750
(617) 724-6767
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
42644
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185485
—
MA
01
—
042644
TUFTS HEALTH PLAN
MA
01
—
B51055
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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