Individual provider · Type 1 NPI

Marissa Carl

Student in an Organized Health Care Education/Training Program · Chestnut Hill, MA

NPI number 1104730142 Active

Practice location

140 Commonwealth Ave
Chestnut Hill, MA 02467-3858

Call (315) 244-8711 Map

Mailing address

11 Boulevard Ter
Allston, MA 02134-4305

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104730142

Marissa Carl's National Provider Identifier is 1104730142, issued on Sep 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chestnut Hill, MA. The record was last updated on Sep 29, 2026.