Individual
KATHLEEN VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
291349
MA
390200000X
Student in an Organized Health Care Education/Training Program
280389
MA
Other
Enumeration date
06/10/2019
Last updated
05/03/2023
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