Healthcare Provider Details

I. General information

NPI: 1437344702
Provider Name (Legal Business Name): KATHLEEN OGAR DIPLOMAT ABT, C.HOM.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2007
Last Update Date: 09/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 EAST ST SUITE 20
HANOVER MA
02339-1638
US

IV. Provider business mailing address

20 EAST ST SUITE 20
HANOVER MA
02339-1638
US

V. Phone/Fax

Practice location:
  • Phone: 781-829-8900
  • Fax: 781-829-8933
Mailing address:
  • Phone: 781-829-8900
  • Fax: 781-829-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberMA-87
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code175L00000X
TaxonomyHomeopath
License NumberNA
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: