Omalley, Patricia Jean

Omalley, Patricia Jean is an individual health care provider with primary practice located at 55 Fruit St Ell 01 Pediaric Emergency Services, Boston MA 02114-2696. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Omalley, Patricia Jean can be contacted via phone (617) 724-4110.

Contact Information

Primary practice address
55 Fruit St Ell 01 Pediaric Emergency Services Boston MA 02114-2696
Phone: (617) 724-4110
Fax: (617) 726-3231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X 42857 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42857 Massachusetts
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 42857 Massachusetts

Profile Details

NPI number 1578544557
LBN Legal business name Omalley, Patricia Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1578544557 NPPES
Massachusetts MEDICAID 0128082
Massachusetts Other N01890
Massachusetts Other 042857

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