Individual
DR. PAUL W KEOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
135 WEBSTER ST, HANOVER, MA 02339-1200
(781) 878-7020
(781) 871-3590
Mailing address
15 WOODBRIDGE RD, HINGHAM, MA 02043-3144
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
54115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13174
HPHC
MA
01
—
139144
CIGNA
—
01
—
2159044
TUTS USFHP
—
05
—
3183297
—
MA
01
—
708695
TUFTS
—
01
—
J06133
BCBS
MA
Enumeration date
12/02/2005
Last updated
02/18/2015
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