Individual
DR. KATHRYN ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., FRCSC
Contact information
Practice address
300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL, BOSTON, MA 02215
(617) 355-6000
Mailing address
300 LONGWOOD AVENUE, CHILDREN'S HOSPITAL, BOSTON, MA 02115
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
266866
MA
390200000X
Student in an Organized Health Care Education/Training Program
95777
ZZ
Other
Enumeration date
07/23/2016
Last updated
10/10/2016
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