Individual
DR. HEATHER E COATES-KRAWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19 NORWOOD ST, EVERETT, MA 02149-2709
(617) 394-7500
(617) 394-7576
Mailing address
19 NORWOOD ST, EVERETT, MA 02149-2709
(617) 394-7500
(617) 394-7576
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
232662
NY
207R00000X
Internal Medicine Physician
233887
MA
208000000X
Pediatrics Physician
232662
NY
208000000X
Pediatrics Physician
233887
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02614620
—
NY
Enumeration date
08/10/2005
Last updated
12/13/2012
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