Provider Demographics
NPI:1922211655
Name:HUBER, KATHRYN E (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:E
Last Name:HUBER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 WILSON DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-6528
Mailing Address - Country:US
Mailing Address - Phone:508-879-0080
Mailing Address - Fax:
Practice Address - Street 1:800 WASHINGTON ST # 359
Practice Address - Street 2:TUFTS MEDICAL CENTER, DEPARTMENT OF RADIATION ONCOLOGY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2221212085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology