Bronwen Cowan Carroll
MD | Pediatric Emergency Medicine | Female
Bronwen Cowan Carroll, MD is a Boston, Massachusetts based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Bronwen Cowan Carroll is
840 Harrison Ave, Menino 1, Boston, Massachusetts - 02118-2905. She can be contacted on phone at
617-414-4991 and fax number 617-414-4999.
Bronwen Cowan Carroll is a sole proprietor of her business.
NPI number (Unique professional ID) for Bronwen Cowan Carroll is
1366578197 which was assigned by NPPES on 26 Feb, 2007 and it was last updated on 09 Jul, 2014.
Bronwen Cowan Carroll license number is
237078 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Massachusetts.
Bronwen Cowan Carroll has special qualifications to manage emergencies in infants and children.
Complete Profile:
Bronwen Cowan Carroll basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Bronwen Cowan Carroll |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Bronwen Cowan Carroll address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 840 Harrison Ave, Menino 1
Boston, MA, 02118-2905
United States |
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| Phone Number : | 617-414-4991 |
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| Fax Number : | 617-414-4999 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366578197 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Feb, 2007 |
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| Last Updated On : | 09 Jul, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bronwen Cowan Carroll are as mentioned. Primary taxonomy code for Bronwen Cowan Carroll, MD is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 237078 | MA |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | 237078 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Bronwen Cowan Carroll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 110082537A | MEDICAID | MA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 720 Harrison Ave, Dob 503
Boston, MA, 02118-2371
United States |
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Business Location:
Patients can refer following map for directions to
Bronwen Cowan Carroll practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.