# MRS. KATHERINE DIANE MATTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1114129053
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 245099 | MA | Yes |
| 207VG0400X | Gynecology Physician | 245099 | MA | — |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 04/26/2025