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NPI Profile for Dr KATHERINE MACCALLUM in PROVIDENCE, RI.
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1194110189 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/06/2015 | |
| Last updated | 09/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KATHERINE MACCALLUM
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KATHERINE MACCALLUM, MD