Individual
DR. CATHY L VANDENHEUVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1223 BEACON ST, SUITE E, BROOKLINE, MA 02446-5302
(617) 879-1544
(617) 608-1113
Mailing address
1223 BEACON ST, SUITE E, BROOKLINE, MA 02446-5302
(617) 879-1544
(617) 608-1113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
209071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165964
—
MA
Enumeration date
02/14/2006
Last updated
09/29/2010
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