Provider Demographics
NPI:1710177811
Name:RIGGERT, KATHERINE M (DO)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:RIGGERT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SPECTACLE HILL RD
Mailing Address - Street 2:
Mailing Address - City:BOLTON
Mailing Address - State:MA
Mailing Address - Zip Code:01740-1407
Mailing Address - Country:US
Mailing Address - Phone:978-764-8944
Mailing Address - Fax:
Practice Address - Street 1:20 HOPE AVE STE 103
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-2717
Practice Address - Country:US
Practice Address - Phone:781-894-3800
Practice Address - Fax:781-894-3900
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2020-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232427207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine