Basic Information
Provider Information
NPI: 1326332040
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOSBURG
FirstName: KATHERINE
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FOOR
OtherFirstName: KATHERINE
OtherMiddleName: R
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: D.O.
OtherLastNameType: 1
Mailing Information
Address1: LAHEY HOSPITAL & MEDICAL CENTER
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817443839
FaxNumber: 7817441597
Practice Location
Address1: LAHEY HOSPITAL & MEDICAL CENTER
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 018050001
CountryCode: US
TelephoneNumber: 7817443839
FaxNumber: 7817441597
Other Information
ProviderEnumerationDate: 05/31/2011
LastUpdateDate: 06/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XOS017036PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X262967MAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X262967MAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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