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Individual

DR. WILLIAM LAWRENCE KEOUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
529 MAIN ST STE 500, BOSTON, MA 02129-1122
(857) 301-0143
Mailing address
136 MUIRFIELD DR, PITTSBURGH, PA 15229-2928
(717) 657-1957

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
289808
MA
208000000X
Pediatrics Physician
Primary
MD417522
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019202420001
PA
05
2750661
OH
05
38100091110
WV
Enumeration date
10/02/2006
Last updated
03/30/2022
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