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Individual

CAROLYN TE YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1320 NARRAGANSETT BLVD, CRANSTON, RI 02905
(401) 443-6159
Mailing address
1320 NARRAGANSETT BLVD, CRANSTON, RI 02905-5142
(401) 461-3006

Taxonomy

Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
278133
MA
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
MD8912
RI
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MD8912
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110169010A
MA
Enumeration date
11/27/2018
Last updated
03/06/2025
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