Individual
LISA FLAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
57 PROSPECT ST, NANTUCKET, MA 02554-2799
(508) 825-8270
Mailing address
408 NEWBOLD RD, JENKINTOWN, PA 19046-2851
(215) 884-2645
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C2-0008522
DE
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
220403
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649490400
—
DE
Enumeration date
04/26/2007
Last updated
05/13/2008
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