Individual
DR. JOHN THOMAS O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
221 LONGWOOD AVE, BRIGHAM DERMATOLOGY ASSOCIATES, BOSTON, MA 02115-5804
(617) 732-4918
(617) 582-6060
Mailing address
221 LONGWOOD AVE, BRIGHAM DERMATOLOGY ASSOCIATES, BOSTON, MA 02115-5804
(617) 732-4918
(617) 582-6060
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
243178
NY
207N00000X
Dermatology Physician
Primary
259346
MA
390200000X
Student in an Organized Health Care Education/Training Program
11015381A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/29/2010
Last updated
08/13/2014
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