Individual
KATHERINE BLAKE ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3000
(617) 278-6965
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3000
(617) 278-6965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7970
MA
Other
Enumeration date
04/13/2020
Last updated
03/08/2023
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