Individual
DR. ELIZABETH KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GEORGE P HASSETT DR, MEDFORD, MA 02155-3258
(617) 270-5947
Mailing address
100 GEORGE P HASSETT DR, MEDFORD, MA 02155-3258
(617) 270-5947
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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