Individual
MRS. TARA L KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
165 CAMBRIDGE ST, SUITE 404 PARTNERS OCCUPATIONAL HEALTH- MGH, BOSTON, MA 02114-2783
(617) 724-3909
(617) 724-3944
Mailing address
165 CAMBRIDGE ST, SUITE 404 PARTNERS OCCUPATIONAL HEALTH- MGH, BOSTON, MA 02114-2783
(617) 724-3909
(617) 724-3944
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
190699
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0343561
—
MA
Enumeration date
07/27/2006
Last updated
04/13/2012
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