Provider Demographics
NPI:1396193777
Name:DROESCH, CAREN (MD)
Entity Type:Individual
Prefix:
First Name:CAREN
Middle Name:
Last Name:DROESCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:
Other - Last Name:GARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:20 WILLIAM ST STE G15
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02481-4102
Mailing Address - Country:US
Mailing Address - Phone:781-591-4234
Mailing Address - Fax:781-369-9737
Practice Address - Street 1:20 WILLIAM ST STE G15
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02481-4102
Practice Address - Country:US
Practice Address - Phone:781-591-4234
Practice Address - Fax:781-369-9737
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA267688207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology