Individual
CAROLYNN OHLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(774) 265-5191
Mailing address
450 BROOKLINE AVENUE, LW 204, BOSTON, MA 02215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6108
MA
Other
Enumeration date
05/11/2017
Last updated
08/16/2017
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