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1083674352
CHARLES A KELLY
WALTHAM, MA
NPI
1083674352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MA 72670)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
-- CHARLES A KELLY MD
40 SECOND AVE
WALTHAM, MA 02451
Phone number: 617-726-3030
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Mailing Address
-- CHARLES A KELLY MD
PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION INC
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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