Individual
KATHERINE J KENTOFFIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARDIOVASCULAR MEDICINE, 330 BROOKLINE AVE, BOSTON, MA 02215
(617) 667-8800
Mailing address
DIVISION OF CARDIOLOGY, BAKER 4, 185 PILGRIM ROAD, BOSTON, MA 02215
(617) 667-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-263482
MA
207RC0000X
Cardiovascular Disease Physician
Primary
274384
MA
208M00000X
Hospitalist Physician
274384
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274384
MA STATE MEDICAL LICENSE
MA
Enumeration date
06/11/2015
Last updated
08/03/2022
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