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Dr. Carlo Giovanni Traverso, MB, BChir, PhD

Internal Medicine, Gastroenterology in Boston, MA. Individual provider (NPI-1).

NPI number1407976392
StatusActive
Last updated in NPPESJan 9, 2016

Details

NPI
1407976392
Entity type
Individual (NPI-1)
Name
Dr. Carlo Giovanni Traverso
Credential
MB, BChir, PhD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2007
Last updated
Jan 9, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - GASTROENTEROLOGY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RG0100X Internal Medicine, Gastroenterology238696MAYes
207R00000X Internal Medicine238696MA

Practice location

55 Fruit St
Blake 4 - Endoscopy Suite
Boston, MA 02114-2621

Phone 617-724-6113 · Fax 617-724-6832

Mailing address

75 Francis St
Thorn 14
Boston, MA 02115-6110

Phone 617-732-5500 · Fax 617-525-8740

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