Provider Demographics
NPI:1831471861
Name:CARLIN, MAURICE E
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:E
Last Name:CARLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BRADFORD RD # RC
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3812
Mailing Address - Country:US
Mailing Address - Phone:508-634-3511
Mailing Address - Fax:
Practice Address - Street 1:12 BRADFORD RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3812
Practice Address - Country:US
Practice Address - Phone:508-634-3511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH15662183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist