Provider Demographics
NPI:1740675800
Name:CARAG, MICHAEL RINGOR (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RINGOR
Last Name:CARAG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 PROVIDENCE HWY
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-6832
Mailing Address - Country:US
Mailing Address - Phone:781-461-6767
Mailing Address - Fax:781-461-6774
Practice Address - Street 1:719 PROVIDENCE HWY
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-6832
Practice Address - Country:US
Practice Address - Phone:781-461-6767
Practice Address - Fax:781-461-6774
Is Sole Proprietor?:No
Enumeration Date:2015-04-05
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY291643208000000X
CT66708208000000X
390200000X
MA285768208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program