Individual
KEITH FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, LAWRENCE HOUSE 202, BOSTON, MA 02114-2621
(617) 643-5817
(617) 724-3166
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 643-5817
(617) 724-3166
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
241789
MA
207RX0202X
Medical Oncology Physician
Primary
241789
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001188201
MEDICARE PTAN
MA
01
—
001188202
MEDICARE ACD
MA
05
—
110082653A
—
MA
Enumeration date
07/04/2006
Last updated
04/01/2026
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