Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 249354 | MA |
Y | 207YP0228X | Pediatric Otolaryngology | 249354 | MA |
NPI | 1609001114 |
---|---|
Provider Name | Dr. Karen Fiona Watters |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2009 |
Last Update Date | 13/12/2011 |