Individual
DR. CATHRYN L SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
300 LONGWOOD AVE, LO-306, ADOLESCENT MEDICINE, BOSTON, MA 02115-5724
(617) 355-7181
(617) 730-0195
Mailing address
300 LONGWOOD AVE, LO-306, BOSTON, MA 02115-5724
(617) 355-2735
(617) 730-0195
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
42863
MA
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
42863
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2066629
—
MA
Enumeration date
11/02/2006
Last updated
08/24/2007
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