Individual
KATHERINE R STANDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 W SQUANTUM ST STE 8, NORTH QUINCY, MA 02171
(617) 376-3000
Mailing address
720 HARRISON AVE # DOB503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278263
MA
Other
Enumeration date
03/30/2016
Last updated
05/08/2019
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