Individual
DR. TERESA M. KOHLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
93 GARFIELD ST, WATERTOWN, MA 02472-4914
(617) 642-1494
Mailing address
93 GARFIELD ST, WATERTOWN, MA 02472-4914
(617) 642-1494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56098
MA
2084P0804X
Child & Adolescent Psychiatry Physician
56098
MA
Other
Enumeration date
02/10/2007
Last updated
07/26/2007
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