Kenneth R Devellis, MD | |
92 High St, Suite 32, Medford, MA 02155-3850 | |
(781) 395-5250 | |
Not Available |
Full Name | Kenneth R Devellis |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 92 High St, Medford, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528007515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 40819 (Massachusetts) | Primary |
Mailing Address | Practice Location Address |
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Kenneth R Devellis, MD 92 High St, Suite 32, Medford, MA 02155-3850 Ph: (781) 395-5250 | Kenneth R Devellis, MD 92 High St, Suite 32, Medford, MA 02155-3850 Ph: (781) 395-5250 |
Dr. Charles D Allen, MD Surgery Medicare: Medicare Enrolled Practice Location: 49 Governors Ave, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 | |
Catherine S Tucker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 49 Governors Ave, Hallmark Health Medical Associates Inc, Medford, MA 02155 Phone: 781-395-6122 Fax: 781-395-2595 |