Individual
KATHLEEN SIBULO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 212-3914
Mailing address
1260 BOYLSTON ST, BOSTON, MA 02215-4401
(617) 212-3914
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3017842
MA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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