| Joseph E Kelleher Jr, MD | |
| 
					41 Mall Rd, Burlington, MA 01805-0001  | |
| (781) 744-8441 | |
| (781) 744-3442 | 
| Full Name | Joseph E Kelleher Jr | 
|---|---|
| Gender | Male | 
| Speciality | Allergy & Immunology - Allergy | 
| Location | 41 Mall Rd, Burlington, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1235224353 | NPI | - | NPPES | 
| 6166687 | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 32062 (Massachusetts) | Primary | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097  | 
| Entity Name | Lahey Clinic Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Joseph E Kelleher Jr, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-8441  | Joseph E Kelleher Jr, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-8441  | 
John A Saryan, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-3442  | |
Jessica Feng, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000  | |
Monica G Ghoshhajra, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442  | |
Dr. Ellen Joy Dutta, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000  | |
Steven M. Matloff, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: Lahey Hospital And Medical Center, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8442 Fax: 781-744-3442  |