Individual
MICHAEL CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-8382
Mailing address
PO BOX 9132, BROOKLINE, MA 02446-9132
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
152743
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J24476
BCBS
MA
Enumeration date
06/28/2006
Last updated
12/10/2009
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