Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 60201 | CT |
NPI | 1033591532 |
---|---|
Provider Name | Dr. Catherine Maria Paniszyn Dawson |
First Address | Boston, MA 02130-4817 |
Second Address | Boston, MA 02130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2015 |
Last Update Date | 23/08/2019 |