Individual
KATIE MCCOY TELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
320 WASHINGTON ST, NORTH EASTON, MA 02357-1607
(508) 565-1307
Mailing address
2014 WASHINGTON ST, NEWTON, MA 02462-1607
(617) 243-6014
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100616T
MA
Other
Enumeration date
01/11/2008
Last updated
10/05/2020
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