Caronna, Elizabeth B

Caronna, Elizabeth B is an individual health care provider with primary practice located at One Boston Medical Center Place Child Health Foundation Of Boston Dowling 3 South, Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Caronna, Elizabeth B can be contacted via phone (617) 414-5170.

Contact Information

Primary practice address
One Boston Medical Center Place Child Health Foundation Of Boston Dowling 3 South Boston MA 02118
Phone: (617) 414-5170
Fax: (617) 414-3803
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 205381 Massachusetts
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 205381 Massachusetts

Profile Details

NPI number 1174514855
LBN Legal business name Caronna, Elizabeth B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174514855 NPPES
Massachusetts MEDICAID 0122238

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