Individual
DR. CAROLYN DAHLEN ALONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST, SUITE GB, BOSTON, MA 02215-5501
(617) 632-7706
Mailing address
110 FRANCIS ST, SUITE GB, BOSTON, MA 02215-5501
(617) 632-7706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
247115
MA
207RI0200X
Infectious Disease Physician
Primary
247115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039004600
—
MD
Enumeration date
01/29/2007
Last updated
06/12/2014
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