Callahan, Jeanette A

Callahan, Jeanette A is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Callahan, Jeanette A can be contacted via phone (617) 665-1264.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Phone: (617) 665-1264
Fax: (617) 665-1835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 213878 Massachusetts

Profile Details

NPI number 1558345470
LBN Legal business name Callahan, Jeanette A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558345470 NPPES
Massachusetts Other 213878 TUFTS HEALTH PLAN

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