Individual
THERESA CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 HOSPITAL RD, SUITE 4, LEOMINSTER, MA 01453-2253
(978) 514-6300
(978) 514-6324
Mailing address
100 HOSPITAL RD, SUITE 4, LEOMINSTER, MA 01453-2253
(978) 514-6300
(978) 514-6324
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
80890
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3141454
—
MA
Enumeration date
10/12/2005
Last updated
06/24/2011
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