Individual
CHARLES G KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
70 EAST ST, CARITAS HOLY FAMILY HOSPITAL, METHUEN, MA 01844
(978) 687-0151
Mailing address
PO BOX 3160, MILFORD, CT 06460
(866) 623-3869
(203) 874-5209
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
34236
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000841
WELFARE
NH
05
—
2031337
—
MA
01
—
772243
TUFT
—
01
—
D19030
BCBS
MA
Enumeration date
07/28/2005
Last updated
10/26/2009
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