Individual
KATHERINE A. LADETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 FRUIT STREET, MGH GASTROENTEROLOGY ASSOCIATES BLAKE 4, BOSTON, MA 02114-2696
(617) 643-5763
(617) 724-6832
Mailing address
55 FRUIT STREET, MGH GASTROENTEROLOGY ASSOCIATES BLAKE 4, BOSTON, MA 02114-2696
(617) 643-5763
(617) 724-6832
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
216965
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701033
—
MA
01
—
412009
RI BLUE CHIP
RI
01
—
NP4153
BCBS OF MA
MA
Enumeration date
04/09/2008
Last updated
04/09/2008
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