Individual
KELLY AMBER VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVE MOAKLEY, 3RD FLOOR, SOLOMON CENTER FOR HEMA & MEDICAL ONCOLOGY (PALLIATIVE, BOSTON, MA 02118
(617) 638-6428
(617) 638-5756
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
275235
MA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
291971
MA
Other
Enumeration date
03/23/2018
Last updated
08/16/2022
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