Individual
KATHARINE A CECALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HARRISON AVE, MENINO 4, BOSTON, MA 02118-2905
(617) 414-4511
(617) 414-3171
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
258163
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110098859A
—
MA
Enumeration date
03/25/2011
Last updated
06/10/2014
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