Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 274976 | MA |
N | 208600000X | Surgeon | 274976 | MA |
Y | 2086S0102X | Surgical Critical Care | 274976 | MA |
NPI | 1063755817 |
---|---|
Provider Name | Kathryn Twomey |
First Address | Boston, MA 02118-2371 |
Second Address | Boston, MA 02118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2013 |
Last Update Date | 30/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110117657A | (05) | MA |