Individual
DR. CAROLYN R ROGERS-VIZENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-0001
(857) 218-4947
(617) 738-1657
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-0001
(857) 218-4947
(617) 738-1657
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
250608
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250608
MASS LIC #
MA
Enumeration date
07/24/2007
Last updated
06/26/2017
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