Kehoe, Laura Gaeta

Kehoe, Laura Gaeta is an sole proprietor health care provider with primary practice located at 101 Merrimac St Suite 1000, Boston MA 02114-4724. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kehoe, Laura Gaeta can be contacted via phone (617) 724-1100.

Contact Information

Primary practice address
101 Merrimac St Suite 1000 Boston MA 02114-4724
Fax: (617) 643-8898
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 208278 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 208278 Massachusetts

Profile Details

NPI number 1215924311
LBN Legal business name Kehoe, Laura Gaeta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2005
Last updated Jan 6th, 2023 - about last year

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 1215924311 NPPES
Massachusetts MEDICAID 2023652

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