Provider Demographics
NPI:1306802798
Name:KREINSEN, CAROLYN HOPE (MD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:HOPE
Last Name:KREINSEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:272 CENTRE STREET
Mailing Address - Street 2:BRIGHAM AND WOMENS AT NEWTON CORNER
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458
Mailing Address - Country:US
Mailing Address - Phone:617-796-7100
Mailing Address - Fax:
Practice Address - Street 1:272 CENTRE STREET
Practice Address - Street 2:BRIGHAM AND WOMENS AT NEWTON CORNER
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458
Practice Address - Country:US
Practice Address - Phone:617-796-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81382207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine