Individual
DR. KATY E. BOCKSTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 HARRISON AVE, PRESTON BUILDING FL 3, BOSTON, MA 02118-2309
(617) 638-7490
(617) 414-8742
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
274440
MA
207RC0000X
Cardiovascular Disease Physician
Primary
274440
MA
207UN0901X
Nuclear Cardiology Physician
274440
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110137795A
—
MA
05
—
3115403
—
MA
Enumeration date
03/21/2012
Last updated
04/13/2026
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