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Individual

KATHERINE GWOZDZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810
Mailing address
1 HIGH ST, WAKEFIELD, RI 02879-3103
(401) 789-1422
(401) 782-6810

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
MA056279
PA
363AS0400X
Surgical Physician Assistant
Primary
PA01005
RI

Other

Enumeration date
01/31/2014
Last updated
03/17/2018
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