Individual
CHARLES A KELLY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 SECOND AVE, WALTHAM, MA 02451
(617) 726-3030
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION INC, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
72670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3060926
—
MA
01
—
J09601
BCBS
MA
Enumeration date
03/23/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us