Individual
KATHRYN S. DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH, BOSTON, MA 02118
(617) 414-5481
(617) 414-7759
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
151702
MA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
151702
MA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
151702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110058587A
—
MA
01
—
151702
TUFTS
MA
01
—
J18088
BCBS
MA
Enumeration date
02/02/2006
Last updated
06/19/2018
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