Individual
DR. ELISABETH A KAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
75 FRANCIS ST, CWN, BOSTON, MA 02115-6110
(617) 732-5209
Mailing address
75 FRANCIS ST, CWN, BOSTON, MA 02115-6110
(617) 732-5209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
268739
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437477908
—
MA
Enumeration date
05/08/2010
Last updated
12/02/2016
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