Individual
DR. MARY JANE HOULIHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, CC 507 C, BOSTON, MA 02215
(617) 667-5519
(617) 667-1069
Mailing address
330 BROOKLINE AVE, CC 507 C, BOSTON, MA 02215
(617) 667-5519
(617) 667-1069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AH50583
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186058
—
MA
Enumeration date
06/08/2006
Last updated
07/08/2007
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