Provider Demographics
NPI:1992951057
Name:OBERTING, CAROLYN M (MA)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:M
Last Name:OBERTING
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 CLIFF RD
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-4900
Mailing Address - Country:US
Mailing Address - Phone:339-368-0437
Mailing Address - Fax:
Practice Address - Street 1:19 CLIFF RD
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-4900
Practice Address - Country:US
Practice Address - Phone:339-368-0437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist