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Nina Carroll Md, Llc
Specialist in Brookline, Massachusetts
NPI 1851680698

Nina Carroll Md, Llc is a Specialist based in Brookline, MA. Nina Carroll Md, Llc practices in Brookline, MA. The NPI Number for Nina Carroll Md, Llc is 1851680698 and holds a License No. 57518 (Massachusetts).

The current practice location address for Nina Carroll Md, Llc is 55 Pond Avenue, Brookline, MA and can be reached out via phone at 617-232-0202 and via fax at 617-739-7203.

Location: 55 Pond Avenue, Brookline, MA, 02445
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851680698
Provider Name
Nina Carroll Md, Llc
Credential
Provider Entity Type
Organization
Address
55 Pond Avenue, Brookline, MA, 02445
Phone Number
617-232-0202
Fax Number
617-739-7203
Provider Enumeration Date
04/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3027228 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Pond Avenue
City
Brookline
State
Massachusetts
Zip
02445
Phone Number
617-232-0202
Fax Number
617-739-7203
person
Provider Business Mailing Address Details
Address
55 Pond Avenue
City
Brookline
State
Massachusetts
Zip
02445
Phone Number
617-232-0202
Fax Number
617-739-7203
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
57518 (Massachusetts)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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