Individual
MARISA KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 756-7273
(781) 756-7274
Mailing address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 756-7273
(781) 756-7274
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
219358
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091658
—
MA
Enumeration date
06/17/2006
Last updated
08/03/2009
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