Individual
DEANNE MARIE O'BRIEN HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
840 HARRISON AVE, BOSTON, MA 02118
(617) 638-6610
Mailing address
960 MASSACHUSETTS AVE, FLR 2, BOSTON, MA 02118
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102329
MA
Other
Enumeration date
12/30/2025
Last updated
01/07/2026
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