Individual provider · Type 1 NPI

Katelyn McNulty Roth, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1083795835 Active

Practice location

75 Francis Street, Brigham And Women's Hospital
Boston, MA 02115

Call (617) 732-5349 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2167 (MA)
Surgical Physician Assistant Primary 363AS0400X2167 (MA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083795835

Katelyn McNulty Roth, PA-C's National Provider Identifier is 1083795835, issued on Oct 18, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Nov 2, 2011.