Individual
DR. KATHERINE AILENE HESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSW
Contact information
Practice address
100 CHARLES RIVER PLZ, STE 501 CPZ 502, MGH SENIOR HEALTH, BOSTON, MA 02114-2723
(617) 726-4600
(617) 228-6306
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-4600
(617) 228-6306
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47630
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
47630
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0162175
—
MA
01
—
708223
TUFTS HEALTH PLAN
MA
01
—
E05771
BCBS OF MA
MA
Enumeration date
11/15/2005
Last updated
07/31/2012
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