Individual
SEAN MICHAEL CALNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11 MOUNT AUBURN STREET, MGB INTEGRATED CARE, WATERTOWN, MA 02472
(781) 653-0100
Mailing address
11 MOUNT AUBURN ST, WATERTOWN, MA 02472-3981
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PA5181
MA
363A00000X
Physician Assistant
#PA 00788
RI
363A00000X
Physician Assistant
Primary
PA5181
MA
Other
Enumeration date
10/29/2014
Last updated
10/15/2021
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