Provider Demographics
NPI:1518968882
Name:CALLAHAN, MARY B (DO)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:B
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:68A ROUTE 6A # 1757
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-1864
Mailing Address - Country:US
Mailing Address - Phone:773-413-5457
Mailing Address - Fax:773-413-5985
Practice Address - Street 1:68A ROUTE 6A # 1757
Practice Address - Street 2:
Practice Address - City:SANDWICH
Practice Address - State:MA
Practice Address - Zip Code:02563-1864
Practice Address - Country:US
Practice Address - Phone:773-413-5457
Practice Address - Fax:773-413-5985
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2025-05-23
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Provider Licenses
StateLicense IDTaxonomies
MA160179207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04-00730OtherUNITED HEALTHCARE
MA1518968882OtherUNICARE
MA160179OtherMA LICENSE
MAJ21736OtherBLUE CROSS BLUE SHIELD
MA3017490OtherNEIGHBORHOOD HEALTH
MA69586OtherHARVARD PILGRIM
MA1518968882OtherHEALTH NET/ TRICARE NORTH
11079014OtherCAQH
MA1518968882OtherMEDICARE ID
MA000000024479OtherBMC HEALTHNET
MA0058769OtherCIGNA
MA160179OtherTUFTS
MA2675818OtherAETNA
MA3200680Medicaid
MA1518968882OtherBOSTON MEDICAL CENTER
MAMC0380698GOtherMA CONTROLLED SUBSTANCE
MA04-00730OtherUNITED HEALTHCARE
MA000000024479OtherBMC HEALTHNET
MA04-00730OtherUNITED HEALTHCARE