Individual
GREGORY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-2555
(978) 313-8177
Mailing address
240 CHURCH ST, PASCOAG, RI 02859-2629
(401) 651-7908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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