Individual
MISS KATELYN MCNULTY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
75 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115
(617) 732-5349
Mailing address
75 FRANCIS STREET, BRIGHAM AND WOMEN'S HOSPITAL, BOSTON, MA 02115
(617) 732-5349
(617) 738-7064
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2167
MA
363AS0400X
Surgical Physician Assistant
Primary
2167
MA
Other
Enumeration date
10/18/2006
Last updated
11/02/2011
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