| Mrs Katherine Diane Matta, MD | |
|
1180 Beacon St Ste 6d, Brookline, MA 02446-3806 | |
| (617) 232-0440 | |
| (617) 232-8444 |
| Full Name | Mrs Katherine Diane Matta |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 1180 Beacon St Ste 6d, Brookline, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114129053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 245099 (Massachusetts) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 245099 (Massachusetts) | Primary |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629398219 PECOS PAC ID: 2860688728 Enrollment ID: O20101119000007 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Katherine Diane Matta, MD 1180 Beacon St Ste 6d, Brookline, MA 02446-3806 Ph: (617) 232-0440 | Mrs Katherine Diane Matta, MD 1180 Beacon St Ste 6d, Brookline, MA 02446-3806 Ph: (617) 232-0440 |
Mark N Kaplan, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1180 Beacon St, Suite 3d, Brookline, MA 02446 Phone: 617-735-8990 | |
Susan Celia Hellerstein, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 111 Cypress St, Brookline, MA 02445 Phone: 857-307-0896 | |
Dr. Lauren Elizabeth Ditrio, M.D. Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1 Brookline Pl Ste 620, Brookline, MA 02445 Phone: 617-735-8800 | |
Susan Mann, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1180 Beacon St Ste A, Brookline, MA 02446 Phone: 617-366-7711 Fax: 617-232-2055 | |
Kathleen F Thurmond, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 12 Thorndike St, Brookline, MA 02446 Phone: 617-277-9753 | |
Carolyn A Cline, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: One Brookline Place, Suite 521, Brookline, MA 02445 Phone: 617-735-8800 Fax: 617-278-9358 |