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NPI Code Detail

MEDICARE: KATHRYN TOUGAS

MEDICARE:   KATHRYN  TOUGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1083955439
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN TOUGAS
Provider Business Mailing Address
First Line : 1 DAVIS SQ
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1 DAVIS SQ
Second Line :
City : SOMERVILLE
State : MA
Zip : 02144-2904
Country : US
Telephone Number : 617-623-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2013
Last Update Date : 03/11/2013

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Directions to “ KATHRYN TOUGAS ” Practice Location

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