Katherine Diane Matta MD

NPI 1114129053 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1114129053
Gender Female
Enumeration Date 06/04/2007
Last Updated 01/05/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
11 NEVINS ST
SUITE 404
BOSTON MA, 02135-3514, US
Phone (617) 787-0017
Fax
Business Location
11 NEVINS ST
SUITE 404
BOSTON MA, 02135-3514, US
Phone (617) 787-0017
Fax
Toxanomy
Taxonomy Code 207V00000X
License State Florida
License Number ME98176
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According to our database, Mrs. Katherine Diane Matta MD NPI is 1114129053, taxonomy code is 207V00000X and license number is ME98176, license state is located at Florida. Katherine Diane Matta MD physically located at 11 Nevins St, Boston MA, 02135-3514. NPI Number Katherine Diane Matta MD has the Individual type.

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1114129053 NPI number is provided on an as is basis without warranty of any kind. 1114129053 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Diane Matta MD are for informational purposes only.