Individual
KELLY PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
467 SALEM ST, MEDFORD, MA 02155-3336
(781) 396-8350
Mailing address
130 PLEASANT ST, BRUNSWICK, ME 04011-2218
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241515
MA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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