Individual
DR. KATHERINE MACCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905-3248
(401) 553-8325
(401) 868-2336
Mailing address
2 DUDLEY ST STE 470, PROVIDENCE, RI 02905-3248
(401) 553-8325
(401) 868-2336
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
293441
MA
2086S0129X
Vascular Surgery Physician
Primary
MD18473
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
09/21/2022
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