Individual
DR. RONAN DAMIAN KILBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT STREET, VBK 830 NEUROLOGY ASSOCIATES, BOSTON, MA 02114
(617) 726-3311
(617) 726-9250
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
219847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2095840
—
MA
01
—
467853
TUFTS HEALTH PLAN
MA
01
—
J27171
BCBS MA
MA
Enumeration date
10/12/2006
Last updated
10/25/2007
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