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Contact Information

ILENE E CARLSON, MD
680 CENTRE ST
PATHOLOGY DEPARTMENT
BROCKTON, MA02302-3308
 Phone: 508-941-7414
 Fax: 508-941-6295
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ILENE E CARLSON · (Female)

NPI # 1457395097
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 153189
  • MA Medicaid 3167119
Hospital affiliation(s)
  • BRIGHAM AND WOMEN'S HOSPITAL - (Acute Care)
    75 FRANCIS STREET
    BOSTON, MA 02115
  • METROWEST MEDICAL CENTER - (Acute Care)
    115 LINCOLN STREET
    FRAMINGHAM, MA 01701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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