Individual
DR. KATHY M SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, WHT 1 ACUTE PSYCHIATRY SERVICE, BOSTON, MA 02114-2696
(617) 726-0895
(617) 724-0308
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-0895
(617) 724-0308
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
70609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070609
TUFTS HEALTH PLAN
MA
05
—
3048080
—
MA
01
—
J09203
BCBS MA
MA
Enumeration date
07/11/2006
Last updated
09/10/2012
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