Individual
MR. SAMUEL KEATING HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 WAVERLEY ST, FRAMINGHAM, MA 01702-6981
(508) 504-1955
Mailing address
30 ARDALE ST, ROSLINDALE, MA 02131-1506
(301) 602-0198
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN2319853
MA
363LF0000X
Family Nurse Practitioner
Primary
354434
NY
363LF0000X
Family Nurse Practitioner
RN2319853
MA
Other
Enumeration date
10/03/2019
Last updated
07/16/2025
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