Provider Demographics
NPI:1609001114
Name:WATTERS, KAREN FIONA (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:FIONA
Last Name:WATTERS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:300 LONGWOOD AVE # LO-367
Mailing Address - Street 2:CHILDREN'S HOSPITAL BOSTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVENUE
Practice Address - Street 2:DEPARTMENT OF OTOLARYNGOLOGY, CHILDRENS HOSPITAL BOSTON
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:617-355-7793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA249354207Y00000X, 207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology