MEDICARE: KATHARYN M ATKINS M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	213649	MA

General Provider Information

NPI Number	:	1710912803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARYN M ATKINS M.D.

Provider Business Mailing Address
First Line	:	51 GLEN ST
Second Line	:
City	:	NATICK
State	:	MA
Zip	:	01760-5603
Country	:	US
Telephone Number	:	617-442-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	55 DIMOCK ST
Second Line	:
City	:	ROXBURY
State	:	MA
Zip	:	02119-1029
Country	:	US
Telephone Number	:	617-442-8800
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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