Individual
KATHLEEN O NORTHRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14 PROSPECT ST, MILFORD HOSPT., MILFORD, MA 01757-3003
(508) 422-2810
Mailing address
26 OLD BROOK RD, SHREWSBURY, MA 01545-5409
(508) 845-0127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209681
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021079
BMC HEALTHNET
—
01
—
0008333
NHP
—
05
—
0162914
—
MA
01
—
209681
TUFTS
—
01
—
613214
HARVARD PILGRIM HEALTH CARE
—
01
—
65368
FALLON
—
01
—
930115612
RAILROAD MEDICARE
—
01
—
974918
NETWORK HEALTH
—
01
—
J24479
BLUE CROSS BLUE SHIELD
—
Enumeration date
06/01/2006
Last updated
05/23/2008
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