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Individual

KEVIN J CALLAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 LYNNFIELD ST, LYNN, MA 01904-1424
(781) 581-9200
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(800) 927-0002
(603) 893-8886

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
209577
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144151
MA
Enumeration date
06/02/2005
Last updated
07/08/2007
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