Caruso, Lisa B

Caruso, Lisa B is an individual health care provider with primary practice located at 725 Albany St, Ste 9A Shapiro Bldg, Boston MA 02118-3549. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Caruso, Lisa B can be contacted via phone (617) 414-4639.

Contact Information

Primary practice address
725 Albany St, Ste 9A Shapiro Bldg Boston MA 02118-3549
Phone: (617) 414-4639
Fax: (617) 414-4094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 157281 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 157281 Massachusetts

Profile Details

NPI number 1316922099
LBN Legal business name Caruso, Lisa B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jun 23rd, 2023 - about last year

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 1316922099 NPPES
New Hampshire MEDICAID 3117948
New Hampshire MEDICAID 110060027A

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