Individual
DR. KATHERINE L. MODZELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
732 HARRISON AVE, FL 2, PRESTON BLDG, BOSTON, MA 02118-2309
(617) 638-7470
(617) 638-7449
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
269695
MA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
269695
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110102721A
—
MA
05
—
3124076
—
NH
Enumeration date
05/04/2012
Last updated
04/01/2024
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