Kearney, Gary P
Kearney, Gary P is an sole proprietor health care provider with primary practice located at 319 Longwood Ave , Boston MA 02115-5728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Kearney, Gary P can be contacted via phone (617) 277-0100.Contact Information
Primary practice address
319 Longwood Ave
Boston MA 02115-5728
Phone: (617) 277-0100
Fax: (617) 232-7571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 31977 | Massachusetts |
Profile Details
| NPI number | 1326040080 |
|---|---|
| LBN Legal business name | Kearney, Gary P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 28th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326040080 | NPPES |
| Massachusetts | MEDICAID | 2049864 |
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