Provider Demographics
NPI:1114915261
Name:KARLSON, JAMES ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALLAN
Last Name:KARLSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:20 GUEST ST STE 225
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2065
Mailing Address - Country:US
Mailing Address - Phone:617-738-8642
Mailing Address - Fax:617-202-4172
Practice Address - Street 1:300 MOUNT AUBURN ST
Practice Address - Street 2:SUITE 505
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5600
Practice Address - Country:US
Practice Address - Phone:617-491-6766
Practice Address - Fax:617-491-2552
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA74009207XX0005X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3116956Medicaid
MA3116956Medicaid
J14420Medicare UPIN