Kathleen M Caruso, PA
Physician Assistant in Newton Centre, MA. Individual provider (NPI-1).
NPI number1023081981
StatusActive
Last updated in NPPESMay 6, 2015
Details
- NPI
- 1023081981
- Entity type
- Individual (NPI-1)
- Name
- Kathleen M Caruso
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2006
- Last updated
- May 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 33 | MA | Yes |
| 363AM0700X | Physician Assistant, Medical | 33 | MA |
Practice location
1400 Centre StreetSuite 203
Newton Centre, MA 02459
Phone 617-244-9929 · Fax 617-244-9935
Mailing address
1400 Centre StreetSuite 203
Newton Centre, MA 02459
Phone 617-244-9929 · Fax 617-244-9935
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