Deanzeris, Kathryn M

Deanzeris, Kathryn M is an individual health care provider with primary practice located at 40 Walnut St Ste 201 , Wellesley MA 02481-2175. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Deanzeris, Kathryn M can be contacted via phone (781) 235-1224.

Contact Information

Primary practice address
40 Walnut St Ste 201 Wellesley MA 02481-2175
Phone: (781) 235-1224
Fax: (781) 235-4111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 223611 Massachusetts

Profile Details

NPI number 1922056035
LBN Legal business name Deanzeris, Kathryn M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922056035 NPPES
Massachusetts MEDICAID 2113279

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