Kelleher, Robert P

Kelleher, Robert P is an individual health care provider with primary practice located at 521 Mount Auburn St Ste 202, Watertown MA 02472-4191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kelleher, Robert P can be contacted via phone (617) 926-9000.

Contact Information

Primary practice address
521 Mount Auburn St Ste 202 Watertown MA 02472-4191
Phone: (617) 926-9000
Fax: (617) 926-7053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 227042 Massachusetts

Profile Details

NPI number 1891761714
LBN Legal business name Kelleher, Robert P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 9th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891761714 NPPES
Massachusetts MEDICAID 2115620
Massachusetts Other J40520

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