Individual
DR. KATHERINE ERIN DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF PEDIATRICS, BOSTON, MA 02115
(617) 355-6224
Mailing address
300 LONGWOOD AVE, BCH3066, BOSTON, MA 02115
(617) 355-6624
(617) 730-0335
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1013847
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
1013847
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
04/25/2025
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