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1528007515
KENNETH R DEVELLIS
MEDFORD, MA
NPI
1528007515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MA 40819)
Enumeration Date
2006-06-05
Last Update Date
2011-08-16
Business Address
KENNETH R DEVELLIS M.D.
92 HIGH ST SUITE 32
MEDFORD, MA 02155-3850
Phone number: 781-395-5250
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Mailing Address
KENNETH R DEVELLIS M.D.
92 HIGH ST SUITE 32
MEDFORD, MA 02155-3850
Phone number: 781-395-5250
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