Omalley, Terrence Adams

Omalley, Terrence Adams is an individual health care provider with primary practice located at 70 Fulton St , Boston MA 02109-1402. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Omalley, Terrence Adams can be contacted via phone (617) 724-4838.

Contact Information

Primary practice address
70 Fulton St Boston MA 02109-1402
Phone: (617) 724-4838
Fax: (617) 726-9754
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36969 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 36969 Massachusetts

Profile Details

NPI number 1083605612
LBN Legal business name Omalley, Terrence Adams
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated May 19th, 2008 - about 18 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 1083605612 NPPES
Massachusetts Other M08833 BCBS MA
Massachusetts Other 036969 BCBS MA
Massachusetts MEDICAID 2045214 BCBS MA

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