Individual
KATELIN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 MASSACHUSETTS AVE., CROSSTOWN BLDG FL 7, BOSTON, MA 02118
(617) 414-5946
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
287351
MA
Other
Enumeration date
03/19/2018
Last updated
06/10/2024
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