Provider Demographics
NPI:1710095559
Name:KATHERINE D HEIN MD PC
Entity Type:Organization
Organization Name:KATHERINE D HEIN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHRINE
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-875-7777
Mailing Address - Street 1:117 WEST CENTRAL STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760
Mailing Address - Country:US
Mailing Address - Phone:508-875-7777
Mailing Address - Fax:508-875-8777
Practice Address - Street 1:117 WEST CENTRAL STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760
Practice Address - Country:US
Practice Address - Phone:508-875-7777
Practice Address - Fax:508-875-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA791982086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA3072101OtherMEDICARE PTAN
MAT21902OtherBCBS
MA079198OtherTUFTS
H11291Medicare UPIN
MA3203140Medicaid