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Individual

MARY B CALLAHAN

Active
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Individual

MARY B CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
160179
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024479
BMC HEALTHNET
MA
01
0058769
CIGNA
MA
01
04-00730
UNITED HEALTHCARE
MA
01
11079014
CAQH
01
1518968882
UNICARE
MA
01
160179
MA LICENSE
MA
01
2675818
AETNA
MA
01
3017490
NEIGHBORHOOD HEALTH
MA
05
3200680
MA
01
69586
HARVARD PILGRIM
MA
01
J21736
BLUE CROSS BLUE SHIELD
MA
01
MC0380698G
MA CONTROLLED SUBSTANCE
MA
Enumeration date
08/09/2005
Last updated
06/26/2026
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