BRENDAN P KELLEY

MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC

Dr BRENDAN P KELLEY is a male medical professional, specializing in Diagnostic Radiology. He graduated in 2013 from New York Medical College.

Contact

MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC

102 ENDICOTT ST
MGH NORTH SHORE MEDICAL
DANVERS
MA
019233623

Tel: 9788826100

BRENDAN P KELLEY Information

Npi 1467794701
Pac Id 0345472015
Professional Enrollment Id I20180516001373
Last Name KELLEY
First Name BRENDAN
Middle Name P
Suffix
Gender M
Credential
Medical School Name NEW YORK MEDICAL COLLEGE
Graduation Year 2013
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC
Group Practice Pac Id 2466365820
Number Of Group Practice Members 2496
Line 1 Street Address 102 ENDICOTT ST
Line 2 Street Address MGH NORTH SHORE MEDICAL
Marker Of Address Line 2 Suppression
City DANVERS
State MA
Zip Code 019233623
Phone Number 9788826100
Hospital Affiliation Ccn 1 220071
Hospital Affiliation Lbn 1 MASSACHUSETTS GENERAL HOSPITAL
Hospital Affiliation Ccn 2 221300
Hospital Affiliation Lbn 2 MARTHA'S VINEYARD HOSPITAL INC
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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