MEDICARE: DR. KATHERINE VANSAVAGE MD

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	213494	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982622841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE VANSAVAGE MD

Provider Business Mailing Address
First Line	:	20 RESEARCH PL STE 320
Second Line	:
City	:	N CHELMSFORD
State	:	MA
Zip	:	01863-2455
Country	:	US
Telephone Number	:	978-256-1858
Fax Number	:	978-788-7890

Provider Business Practice Location Address
First Line	:	20 RESEARCH PL STE 320
Second Line	:
City	:	N CHELMSFORD
State	:	MA
Zip	:	01863-2455
Country	:	US
Telephone Number	:	978-256-1858
Fax Number	:	978-788-7890

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

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	11/10/2020

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