Individual ProviderCarolena OthmanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address145 Harrison Ave, Boston, MA 02111(617) 636-6571PECOS EnrollmentBased on the most recent information from CMS, provider Carolena Othman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1023849163Provider TypeIndividualFull NameOthman, CarolenaCredentialMEDICAL STUDENTGenderFemaleSole ProprietorNoEnumeration Date8/12/2024Last Updated8/12/2024Contact InformationPractice LocationPractice Address145 Harrison Ave, Boston, MA 02111Phone(617) 636-6571FaxUnlisted FaxMailing LocationMailing Address145 Harrison Ave, Boston, MA 02111PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer