Samples, Cathryn L

Samples, Cathryn L is an individual health care provider with primary practice located at 300 Longwood Ave Lo-306, Adolescent Medicine, Boston MA 02115-5724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is her primary health care specialty. Samples, Cathryn L can be contacted via phone (617) 355-7181.

Contact Information

Primary practice address
300 Longwood Ave Lo-306, Adolescent Medicine Boston MA 02115-5724
Phone: (617) 355-7181
Fax: (617) 730-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42863 Massachusetts
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 42863 Massachusetts

Profile Details

NPI number 1730267980
LBN Legal business name Samples, Cathryn L
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Aug 24th, 2007 - about 19 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 1730267980 NPPES
Massachusetts MEDICAID 2066629

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