Whalio Doctors

NPI 1013944792

Desiree a Carlson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Brockton, MA

Practice location

Address
680 Centre St Pathology Department, Brockton, MA 02302-3395
Phone
(508) 941-7414
Fax
(508) 941-6295

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 058260 (MA)

Registry record

NPI
1013944792
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jun 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.