Doctor Name: | KATHLEEN M CARUSO |
NPI Number: | 1023081981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 33 |
Business Practice Address: | 1400 Centre Street Suite 203 Newton Centre, MA - 02459 |
Business Phone Number: | 6172449929 |
Business Fax Number: | 6172449935 |
Mailing Address: | 1400 Centre Street, Suite 203 NEWTON CENTRE |
State: | MA |
Postal Code: | 02459 |
Phone Number: | 6172449929 |
Fax Number: | 6172449935 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 05/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 33 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |