Callery, Mark P
Callery, Mark P is an individual health care provider with primary practice located at 330 Brookline Ave Stoneman 928, Boston MA 02215-5400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Callery, Mark P can be contacted via phone (617) 667-3798.Contact Information
Primary practice address
330 Brookline Ave Stoneman 928
Boston MA 02215-5400
Phone: (617) 667-3798
Fax: (617) 667-7756
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 150953 | Massachusetts |
Profile Details
| NPI number | 1437189495 |
|---|---|
| LBN Legal business name | Callery, Mark P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1437189495 | NPPES |
| Massachusetts | MEDICAID | 3152839 |
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