Individual
KATHERINE OLIVIA BRAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOLINE AVENUE, GRYZMISH 522, BOSTON, MA 02215-2632
(203) 216-3833
Mailing address
330 BROOLINE AVENUE, GRYZMISH 522, BOSTON, MA 02215-2632
(203) 216-3833
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
312694
LA
Other
Enumeration date
03/31/2015
Last updated
12/15/2020
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