Provider Demographics
NPI:1831374107
Name:NORMAN, CATALINA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:
Last Name:NORMAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:CATALINA
Other - Middle Name:
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:56 FOXGLOVE RD
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-2019
Mailing Address - Country:US
Mailing Address - Phone:774-994-2596
Mailing Address - Fax:
Practice Address - Street 1:40 QUINLAN WAY
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5232
Practice Address - Country:US
Practice Address - Phone:508-862-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104932207RE0101X
MN53429207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNENROLLEDMedicaid
MNP01208626OtherRAILROAD MEDICARE
MNP01208626OtherRAILROAD MEDICARE