Individual
DR. ELIZABETH ANN CATLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, FND 530 NEW BORN SERVICE, BOSTON, MA 02114-2621
(617) 724-9040
(617) 724-9346
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
55112
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
55112
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055112
TUFTS HEALTH PLAN
MA
05
—
3003884
—
MA
01
—
J05090
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
08/26/2009
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