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Individual

KATHERINE E MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3370
Mailing address
119 WINDSOR ST, CAMBRIDGE, MA 02139-3647
(617) 665-3370

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208211
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0116611
MA
01
3449997
AETNA
MA
01
4561720
CIGNA
MA
01
MIJ23235
BCBS
MA
Enumeration date
06/05/2006
Last updated
06/24/2021
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