Individual
KATHLEEN M CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 CENTRE STREET, SUITE 203, NEWTON CENTRE, MA 02459
(617) 244-9929
(617) 244-9935
Mailing address
1400 CENTRE STREET, SUITE 203, NEWTON CENTRE, MA 02459
(617) 244-9929
(617) 244-9935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
33
MA
363AM0700X
Medical Physician Assistant
33
MA
Other
Enumeration date
02/10/2006
Last updated
05/06/2015
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