Individual
KATHERINE K DOMOTO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3 RANDOLF STREET, MASS HOSPITAL SCHOOL, CANTON, MA 02021
(781) 830-8890
Mailing address
128 BRADFORD ST, NEEDHAM, MA 02492-3049
(781) 830-8890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39561
MA
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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