Individual
DEBORAH S KADISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 HARTFORD ST, NEWTON HIGHLANDS, MA 02461-1553
(617) 558-5223
Mailing address
4 HARTFORD ST, NEWTON HIGHLANDS, MA 02461-1553
(617) 558-5223
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
78828
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402708
TUFTS
MA
01
—
J23424
BCBS
MA
01
—
NNO 097750
UNITED BEHAVIORAL HEALTH
MA
Enumeration date
09/16/2006
Last updated
07/08/2007
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