Provider Demographics
NPI:1558120220
Name:NGOOI, CAROLINE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:NGOOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 CHELMSFORD RD STE 8
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-1351
Mailing Address - Country:US
Mailing Address - Phone:978-545-1436
Mailing Address - Fax:978-362-2546
Practice Address - Street 1:99 CHELMSFORD RD STE 8
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-1351
Practice Address - Country:US
Practice Address - Phone:978-545-1436
Practice Address - Fax:997-836-2254
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1217173363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant