Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 278682 | MA |
N | 111NI0900X | Internist | 278682 | MA |
Y | 207RH0002X | Hospice and Palliative Medicine | 278682 | MA |
NPI | 1104288661 |
---|---|
Provider Name | Carine Davila |
First Address | Boston, MA 02114-2621 |
Second Address | Boston, MA 02114-2621 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2016 |
Last Update Date | 13/07/2020 |