Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 44871 | MA |
NPI | 1487944914 |
---|---|
Provider Name | Dr. William Robert Caruso |
First Address | Duxbury, MA 02332-5207 |
Second Address | Duxbury, MA 02332-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2011 |
Last Update Date | 18/04/2011 |