Individual
KERI D SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
266904
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110112110A
—
MA
Enumeration date
04/03/2013
Last updated
11/30/2023
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