Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | RN2312206 | MA |
NPI | 1003451626 |
---|---|
Provider Name | Katharine C Torres |
First Address | Sandwich, MA 02563-1719 |
Second Address | Sandwich, MA 02563-1864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2019 |
Last Update Date | 07/11/2019 |