Provider Demographics
NPI:1124015029
Name:ANANIA, CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:ANANIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 STERGIS WAY
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2637
Mailing Address - Country:US
Mailing Address - Phone:781-326-2451
Mailing Address - Fax:781-329-2684
Practice Address - Street 1:45 STERGIS WAY
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026
Practice Address - Country:US
Practice Address - Phone:781-326-2451
Practice Address - Fax:781-329-2684
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79145207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA754168OtherTUFTS
MAAA6579OtherHARVARD PILGRIM
MAJ31188OtherBLUE CROSS BLUE SHIELD
MAF55793Medicare UPIN