Provider Demographics
NPI:1619947793
Name:CALVILLO, KATHERINA ZABICKI (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINA
Middle Name:ZABICKI
Last Name:CALVILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-3502
Mailing Address - Country:US
Mailing Address - Phone:617-406-9699
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST., MAYER 1B34
Practice Address - Street 2:BWH/DFCI BREAST ONCOLOGY CENTER
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-632-2174
Practice Address - Fax:617-582-7740
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2203982086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology