Provider Demographics
NPI:1710439906
Name:DUNKELMAN, ANNA CAROLYN
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:CAROLYN
Last Name:DUNKELMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CONCORD AVE
Mailing Address - Street 2:APT 301
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-2326
Mailing Address - Country:US
Mailing Address - Phone:716-598-2356
Mailing Address - Fax:
Practice Address - Street 1:29 CONCORD AVE
Practice Address - Street 2:APT 301
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-2326
Practice Address - Country:US
Practice Address - Phone:716-598-2356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-04
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care