Provider Demographics
NPI:1609213602
Name:BRAGA, CAROLYN MARQUARDT (DVM)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:MARQUARDT
Last Name:BRAGA
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CABOT RD
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-1004
Mailing Address - Country:US
Mailing Address - Phone:781-932-5802
Mailing Address - Fax:
Practice Address - Street 1:20 CABOT RD
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-1004
Practice Address - Country:US
Practice Address - Phone:781-932-5802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6364174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian