Individual
KELLY J OCALLAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 CENTRAL ST, FLOOR 4, WORCESTER, MA 01608-1209
(508) 831-0708
(508) 831-0272
Mailing address
100 CENTRAL ST, FLOOR 4, WORCESTER, MA 01608-1209
(508) 831-0708
(508) 831-0272
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
159560
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3201601
—
MA
Enumeration date
07/12/2005
Last updated
07/08/2007
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