Individual
ANN D KAILATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1832 CENTRE STREET, WEST ROXBURY MEDICAL GROUP FAULKNER HOSPITAL, WEST ROXBURY, MA 02130
(617) 469-4000
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
78661
MA
Other
Enumeration date
07/12/2006
Last updated
08/07/2012
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