Individual
DR. KATHERINE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1153 CENTRE STREET, SUITE 4950 FAULKNER HOSPITAL, BOSTON, MA 02130
(617) 522-4943
(617) 983-2358
Mailing address
1153 CENTRE STREET, SUITE 4950, BOSTON, MA 02130
(617) 522-4943
(617) 983-2358
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
42007
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084444
AETNA US HEALTH
—
05
—
0120308
—
MA
01
—
042007
TUFTS
—
01
—
6786
HARVARD PILGRIM
—
01
—
C05225
BLUE SHIELD
—
01
—
S012305
CHAMPUS
—
Enumeration date
07/11/2006
Last updated
03/07/2023
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