Individual
DR. KATHLEEN ANN MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 240, BOSTON, MA 02114-3117
(617) 726-1793
(617) 726-1074
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-1793
(617) 726-1074
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
42682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135437
—
MA
01
—
724083
TUFTS HEALTH PLAN
MA
01
—
C23052
BCBS MA
MA
Enumeration date
11/07/2005
Last updated
08/27/2012
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