Carolyn A Stickney
Internist Pediatrician Pediatric Emergency Doctor Pediatric Critical Care Doctor
333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children's Hospital
Boston
, Massachusetts 02115-5724
Carolyn A Stickney
Internist Pediatrician Pediatric Emergency Doctor Pediatric Critical Care Doctor
333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children's Hospital
Boston
, Massachusetts 02115-5724
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About
Features
Specialties
- Internist
- Pediatrician
- Pediatric Critical Care Doctor
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Carolyn A Stickney
- 333 Longwood Ave, Lo 011 Medicine Critical Care Children's Hospital Boston
- Boston, MA
- Zip : 02115-5724
- Phone :
Second Address
- Carolyn A Stickney
- 333 Longwood Ave, Lo 011 Critical Care Medicine, Boston Children's Hospital
- Boston, MA
- Zip : 02115-5724
- Phone : (617) 355-4480
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Is Carolyn A Stickney a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 57.009030 | OH |
| N | 111NI0900X | Internist | 57.009030 | OH |
| N | 208000000X | Pediatrician | 57.009030 | OH |
| Y | 2080P0203X | Pediatric Critical Care Doctor | 240053 | MA |
| N | 2080P0204X | Pediatric Emergency Doctor | 35-091362 | OH |
National Provider Identifier
| NPI | 1154535318 |
|---|---|
| Provider Name | Carolyn A Stickney |
| First Address | Boston, MA 02115-5724 |
| Second Address | Boston, MA 02115-5724 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2007 |
| Last Update Date | 07/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2839192 | (05) | OH |
| 9959153 | AETNA (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.