Individual
GREGORY J KECHEJIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 HIGHLAND ST, SUITE 22, MILTON, MA 02186-3881
(617) 696-0660
(617) 696-6655
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(970) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
70571
MA
2086S0129X
Vascular Surgery Physician
70571
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101479
—
MA
Enumeration date
08/12/2005
Last updated
04/28/2014
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