Provider Demographics
NPI:1639136096
Name:CARUSI, DANIELA ANNE (MD MSC)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:ANNE
Last Name:CARUSI
Suffix:
Gender:F
Credentials:MD MSC
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Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPT OF OBST AND GYNECOLOGY
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5452
Mailing Address - Fax:617-232-6346
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPT OF OBST AND GYNECOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5452
Practice Address - Fax:617-232-6346
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2012-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA209257207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology