Provider Demographics
NPI:1063491264
Name:SPATH, CATHERINE M (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:M
Last Name:SPATH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4 WEST ST
Mailing Address - Street 2:
Mailing Address - City:WEST HATFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01088-9515
Mailing Address - Country:US
Mailing Address - Phone:413-586-8200
Mailing Address - Fax:413-582-1460
Practice Address - Street 1:4 WEST ST
Practice Address - Street 2:
Practice Address - City:WEST HATFIELD
Practice Address - State:MA
Practice Address - Zip Code:01088-9515
Practice Address - Country:US
Practice Address - Phone:413-586-8200
Practice Address - Fax:413-582-1460
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2011-02-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA204965207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9702547Medicaid
MA0122718Medicaid
MAH21472Medicare UPIN
MAA31372Medicare ID - Type Unspecified