Individual
DR. PATRICIA JEAN OMALLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FRUIT ST, ELL 01 PEDIARIC EMERGENCY SERVICES, BOSTON, MA 02114-2696
(617) 724-4110
(617) 726-3231
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
42857
MA
208000000X
Pediatrics Physician
42857
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
42857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128082
—
MA
01
—
042857
TUFTS HEALTH PLAN
MA
01
—
N01890
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
09/11/2025
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