Individual
KATHRYN GANTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7000
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2269737
MA
Other
Enumeration date
09/14/2012
Last updated
12/14/2018
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