Individual
CIARAN P KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BI/DEACONESS MEDICAL CTR, 330 BROOKLINE AVENUE, BOSTON, MA 02215
(617) 667-1272
Mailing address
308 PRINCE ST, WEST NEWTON, MA 02465-2955
(617) 667-1272
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
74719
MA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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