| 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 |
|---|---|
| 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: Not Enrolled in Medicare 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 |