Dr. Carmi Santos Punzalan , MD
Internal Medicine - Gastroenterology โข Burlington, MA
41 Mall Road, Lahey Hospital & Medical Center
Burlington, MA 01805
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Carmi Punzalan is listed in NPPES under Internal Medicine - Gastroenterology.
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NPI assigned on April 10, 2008; this date does not establish years in practice.
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Published CMS data list 467 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99215 โ Established patient outpatient office visit: 171 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 149 service units.
- 99223 โ Initial hospital care with moderate level of medical decision making: 37 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 8 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,231 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Ursodiol โ 174 prescription fills, including refills.
- Xifaxan (Rifaximin) โ 144 prescription fills, including refills.
- Tacrolimus โ 137 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 20 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 20 clinicians with data). Median for this group: 493. Middle half: 404 to 680.
Close to the middle for Medicare Part B services among clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 450 clinicians with data). Median for this group: 542. Middle half: 254 to 825.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 505 in 2020 to 467 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
41 Mall Road
Lahey Hospital & Medical Center
Burlington, MA 01805
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Lahey Clinic Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Boston University School Of Medicine
2008
What Public CMS Data Show
Internal Medicine - Gastroenterology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
263 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $63,456 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $48,372 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
2,306 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$905,088 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $9,045.91 across 18 records.
By nature of payment (3 largest of 4)
- Consulting Fee: $5,120.00 across 2 records.
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $2,744.00 across 1 record.
- Food and Beverage: $974.35 across 11 records.
Reporting-company totals
- Madrigal Pharmaceuticals: $4,813.80 across 12 records.
- Ipsen Biopharmaceuticals, Inc: $2,982.11 across 5 records.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $1,250.00 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
18 years (graduated 2008)
CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2008
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Punzalan has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Punzalan as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Burlington and Massachusetts
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 20 clinicians with data). Median for this group: 493. Middle half: 404 to 680.
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 450 clinicians with data). Median for this group: 542. Middle half: 254 to 825.
Medicare-allowed amount
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 20 clinicians with data). Median for this group: $62,617. Middle half: $55,146 to $85,885.
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 450 clinicians with data). Median for this group: $71,658. Middle half: $31,752 to $113,201.
Paid by Medicare
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 20 clinicians with data). Median for this group: $48,834. Middle half: $42,303 to $67,633.
Close to the middle for clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 450 clinicians with data). Median for this group: $56,993. Middle half: $24,937 to $90,245.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 23 clinicians with data). Median for this group: 356. Middle half: 84 to 536.
More Part D prescriptions than 85% of clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 483 clinicians with data). Median for this group: 387. Middle half: 128 to 743.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine - Gastroenterology in Burlington, MA (2024, 23 clinicians with data). Median for this group: $81,329. Middle half: $5,908 to $412,649.
A higher Part D drug cost than 85% of clinicians listed under Internal Medicine - Gastroenterology in Massachusetts (2024, 483 clinicians with data). Median for this group: $81,329. Middle half: $15,749 to $409,663.
31 active clinicians are listed under Internal Medicine - Gastroenterology with a practice address in Burlington, MA (686 in Massachusetts).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Burlington
51.6% of these 31 clinicians have the CMS telehealth indicator.
74.2% of these 31 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services varied from year to year: 505 in 2020 and 467 in 2024.
- 2020: 505
- 2021: 533
- 2022: 526
- 2023: 391
- 2024: 467
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Medicare-allowed amount
Medicare-allowed amount increased 22% from $52,172 in 2020 to $63,456 in 2024.
- 2020: $52,172
- 2021: $73,040
- 2022: $73,185
- 2023: $58,067
- 2024: $63,456
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Paid by Medicare
Paid by Medicare increased 19% from $40,524 in 2020 to $48,372 in 2024.
- 2020: $40,524
- 2021: $55,920
- 2022: $55,086
- 2023: $44,018
- 2024: $48,372
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 37% from 896 in 2020 to 1,231 in 2024.
- 2020: 896
- 2021: 1,178
- 2022: 1,135
- 2023: 1,227
- 2024: 1,231
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30-day fills
30-day fills increased 58% from 1,456 in 2020 to 2,306 in 2024.
- 2020: 1,456
- 2021: 1,912
- 2022: 1,824
- 2023: 2,244
- 2024: 2,306
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Part D drug cost
Part D drug cost increased 125% from $402,546 in 2020 to $905,088 in 2024.
- 2020: $402,546
- 2021: $592,797
- 2022: $705,968
- 2023: $725,119
- 2024: $905,088
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $37.05 in 2019 to $9,045.91 in 2025.
- 2019: $37.05
- 2020: $5.90
- 2024: $3,399.24
- 2025: $9,045.91
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 18 records totaling $9,045.91.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Madrigal Pharmaceuticals |
Consulting Fee
Cash or cash equivalent
|
REZDIFFRA | General | $3,870.00 |
| Ipsen Biopharmaceuticals, Inc |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
IQIRVO | General | $2,744.00 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Consulting Fee
Cash or cash equivalent
|
XIFAXAN | General | $1,250.00 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $186.30 |
| Madrigal Pharmaceuticals |
Food and Beverage
Cash or cash equivalent
|
REZDIFFRA | General | $158.44 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $124.17 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $109.36 |
| Madrigal Pharmaceuticals |
Food and Beverage
In-kind items and services
|
REZDIFFRA | General | $108.93 |
| Madrigal Pharmaceuticals |
Food and Beverage
Cash or cash equivalent
|
REZDIFFRA | General | $96.54 |
| Madrigal Pharmaceuticals |
Travel and Lodging
Cash or cash equivalent
|
REZDIFFRA | General | $68.96 |
| Madrigal Pharmaceuticals |
Food and Beverage
Cash or cash equivalent
|
REZDIFFRA | General | $68.96 |
| Madrigal Pharmaceuticals |
Travel and Lodging
Cash or cash equivalent
|
REZDIFFRA | General | $50.00 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $50.00 |
| Madrigal Pharmaceuticals |
Travel and Lodging
Cash or cash equivalent
|
REZDIFFRA | General | $46.20 |
| Madrigal Pharmaceuticals |
Food and Beverage
Cash or cash equivalent
|
REZDIFFRA | General | $42.75 |
| Ipsen Biopharmaceuticals, Inc |
Travel and Lodging
In-kind items and services
|
IQIRVO | General | $42.40 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
IQIRVO | General | $21.54 |
| Madrigal Pharmaceuticals |
Food and Beverage
Cash or cash equivalent
|
REZDIFFRA | General | $7.36 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
171 | 116 | $557.15 | $148.41 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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149 | 43 | $372.02 | $123.88 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
37 | 36 | $601.11 | $180.77 |
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99205
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
|
34 | 34 | $683.35 | $186.51 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
24 | 22 | $398.67 | $99.61 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
23 | 20 | $55.00 | $17.34 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
16 | 16 | $516.38 | $139.64 |
|
99239
Hospital discharge day management, more than 30 minutes
|
13 | 12 | $355.00 | $120.45 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Ursodiol | Ursodiol | 174 | 10,520 | $26,467.88 | 48 |
| Xifaxan | Rifaximin | 144 | 4,603 | $509,598.34 | 24 |
| Tacrolimus | Tacrolimus | 137 | 10,162 | $28,982.52 | 49 |
| Carvedilol | Carvedilol | 135 | 9,000 | $977.48 | 45 |
| Spironolactone | Spironolactone | 108 | 6,840 | $947.19 | 35 |
| Furosemide | Furosemide | 106 | 6,182 | $363.51 | 30 |
| Lactulose | Lactulose | 68 | 2,760 | $3,713.74 | 24 |
| Mycophenolate Mofetil | Mycophenolate Mofetil | 67 | 4,594 | $5,659.18 | 22 |
| Prednisone | Prednisone | 65 | 2,478 | $203.82 | 11 |
| Azathioprine | Azathioprine | 43 | 2,868 | $2,235.18 | 11 |
| Vemlidy | Tenofovir Alafenamide | 35 | 1,290 | $61,638.48 | โ |
| Nadolol | Nadolol | 21 | 1,110 | $392.15 | โ |
| Cyclosporine Modified | Cyclosporine, Modified | 20 | 1,395 | $3,748.09 | โ |
| Potassium Chloride | Potassium Chloride | 18 | 903 | $118.15 | โ |
| Rezdiffra | Resmetirom | 18 | 720 | $96,061.86 | โ |
| Hydroxyzine Hcl | Hydroxyzine Hcl | 17 | 1,065 | $249.16 | โ |
| Ocaliva | Obeticholic Acid | 16 | 480 | $152,921.88 | โ |
| Entecavir | Entecavir | 14 | 900 | $10,057.36 | โ |
| Propranolol Hcl | Propranolol Hcl | 13 | 450 | $139.29 | โ |
| Lamivudine Hbv | Lamivudine | 12 | 360 | $612.48 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207RG0100X
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
NUCC Taxonomy Code: 207RT0003X
An internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease.
NUCC Taxonomy Code: 207RG0100X
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GASTROENTEROLOGY
I20180223001571
MA
6204005036
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Lahey Clinic Inc
41 Mall Rd, Burlington, MA 018050001
Lahey Clinic Inc
41 Mall Rd, Burlington, MA 018050001
Lahey Clinic Inc
29 Mall Rd, Burlington, MA 018050001
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Nurse Practitioner
Anesthesiology
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Anesthesiology
Doctor of Medicine (M.D.)
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 01805 (Tel: 7817448000)
Registered at 41 MALL ROAD, LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON, MA 018050001 (Tel: 7817448000)
Internal Medicine (license number reported to NPPES: MA 262302)
Registered at 782 E HARDING WAY, STOCKTON, CA 952046101 (Tel: 2095465200)
Registered at 4825 DANDELION LOOP, TRACY, CA 953778774 (Tel: 6463912750)
Registered at LAHEY HOSPITAL & MEDICAL CENTER, 41 MALL ROAD, BURLINGTON, MA 018050001 (Tel: 7817442500)
NPI status registered as active in NPPES database
Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817442500)
Registered at 41 MALL RD, BURLINGTON, MA 018050001
Recorded as CARMI PUNZALAN, M.D.
Internal Medicine (license number reported to NPPES: PA MD441142)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine - Gastroenterology Specialists in Burlington
- Dr. Amy Tien, MD
- Dr. Christopher Ward, MD
- Samantha Magier
- Brian Yan
- Dr. Stephen Fabry, MD
- Dr. Syed Mahmood, MD
More public profiles in Massachusetts
Directory navigation, in NPI number order.
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- Daniela Aispuro Social Worker - Clinical ยท Lynn
- Analesa Baraka, NP Nurse Practitioner - Acute Care ยท Boston
- Patrick Nsereko, MD Hospitalist ยท Fall River
- Samridhi Chikersal, MD Family Medicine ยท Plymouth
Mailing Address
41 Mall Road, Lahey Hospital & Medical Center
Burlington, MA 018050001
Phone: 7817448000