Individual
KATHRYN J. SWOBODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5732
(617) 724-9620
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-5732
(617) 724-9620
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
152105
MA
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
152105
MA
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
152105
MA
2084N0400X
Neurology Physician
Primary
152105
MA
2084N0400X
Neurology Physician
356086-1205
UT
2084N0600X
Clinical Neurophysiology Physician
152105
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G65385
—
UT
Enumeration date
10/13/2006
Last updated
03/11/2015
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