Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 247599 | MA |
N | 208600000X | Surgeon | 247599 | MA |
Y | 2086S0102X | Surgical Critical Care | 247599 | MA |
NPI | 1275706277 |
---|---|
Provider Name | Dr. Cullen O'neill Carter |
First Address | Boston, MA 02115-6110 |
Second Address | Boston, MA 02115-6110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2008 |
Last Update Date | 28/07/2015 |