Newbold, Karen Elline

Newbold, Karen Elline is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Newbold, Karen Elline can be contacted via phone (617) 629-6300.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Fax: (617) 629-6090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 224263 Massachusetts

Profile Details

NPI number 1548268360
LBN Legal business name Newbold, Karen Elline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Feb 18th, 2021 - about 3 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 1548268360 NPPES
Massachusetts MEDICAID 2102030

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