Individual
GILLIAN KATZ-WIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
93 UNION ST STE 303A, NEWTON CENTER, MA 02459-2241
(617) 796-9100
Mailing address
93 UNION ST STE 303A, NEWTON CENTER, MA 02459-2241
(617) 796-9100
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
153636
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M18517
BLUE CROSS BLUE SHIELD
MA
Enumeration date
03/24/2006
Last updated
03/09/2017
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