Kathleen Goreham in Cambridge - Physician Assistant

Kathleen Goreham - NPI 1750410015

Kathleen Goreham is a Physician Assistant in Cambridge, Massachusetts. Kathleen Goreham practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathleen Goreham is 1750410015. The last update date is 2007-07-08.

Kathleen Goreham's current location address is 1493 Cambridge St, Cambridge, Massachusetts. You can contact this provider via phone number 6176651566. The mailing address for Kathleen Goreham is 1493 Cambridge St, Cambridge, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Goreham
Address 1493 Cambridge St, Cambridge, Massachusetts
Phone Number 6176651566
Fax Number
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1750410015
Provider Enumeration Date 2007-03-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1493 Cambridge St
City Cambridge
State Massachusetts (MA)
Post Code 21391047
Phone Number 6176651566
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1307
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kathleen Goreham

What is the unique identifier code issued to Kathleen Goreham by the Centers for Medicare & Medicaid Services (CMS)?

The Kathleen Goreham has been assigned the NPI (National Provider Identifier) 1750410015. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Kathleen Goreham is physically located?

The Kathleen Goreham is physically situated at the following address: 1493 Cambridge St, Cambridge, MA, 21391047.

What is Kathleen Goreham's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kathleen Goreham's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When did Kathleen Goreham receive its 1750410015 assignment?

The Kathleen Goreham was assigned its 1750410015 on 2007-03-05, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Kathleen Goreham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kathleen Goreham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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