Provider Demographics
NPI:1568441186
Name:OLSON, DAVID CARLETON (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CARLETON
Last Name:OLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:850 BOYLSTON ST
Mailing Address - Street 2:SUITE 575
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2477
Mailing Address - Country:US
Mailing Address - Phone:617-732-9100
Mailing Address - Fax:617-731-5377
Practice Address - Street 1:850 BOYLSTON ST
Practice Address - Street 2:SUITE 575
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2477
Practice Address - Country:US
Practice Address - Phone:617-732-9100
Practice Address - Fax:617-731-5377
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2011-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA73577207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology