Provider Demographics
NPI:1972585511
Name:ANDERSSON, KARIN L (MD)
Entity Type:Individual
Prefix:DR
First Name:KARIN
Middle Name:L
Last Name:ANDERSSON
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-3524
Mailing Address - Fax:617-724-5997
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:MASSACHUSETTS GENERAL HOSPITAL GRJ 722
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-724-6113
Practice Address - Fax:617-726-3673
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2012-10-23
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Provider Licenses
StateLicense IDTaxonomies
MA213884207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine