Individual
INNA KETSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 MEMORIAL DR, SUITE 202, LEOMINSTER, MA 01453-2238
(978) 466-5155
(978) 466-3853
Mailing address
6 WARWICK DR, CHELMSFORD, MA 01824-3768
(978) 250-1219
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
74268
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
74268
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074268
TUFTS HEALTH PLAN
MA
01
—
14738
FALLON COMMUNITY HEALTH
MA
01
—
2296
HEALTHSOURCE
NH
01
—
23240
HARVARD PILGRIM
MA
05
—
3098176
—
MA
01
—
469686
AETNA
MA
01
—
4800282
UNITED HEALTHCARE
MA
01
—
97766601
NETWORK HEALTH
MA
01
—
J12941
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/05/2006
Last updated
06/03/2022
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