LONGWOOD UROLOGICAL ASSOCIATES PC
Medical Practice at Longwood Ave, Boston, MA

License number
Massachusetts 31977
Category
Medical Practice
Type
Specialist
Owner
Name: DR. MICHAEL C KEARNEY MD
Title: DOCTOR
Phone: (617) 277-0100
Address
Address
319 Longwood Ave, Boston, MA 02115
National Provider ID: 1730303801
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LONGWOOD UROLOGICAL ASSOCIATES, PC

319 Longwood Ave, Boston, MA 02115

Status:
Inactive
Doing business as:
GARY P. KEARNEY,M.D.,P.C
Registration:
Sep 1, 1977
Inactive since:
May 31, 2007
State ID:
042621910
Business type:
Professional Corporation
Treasurers:
Gary P. Kearney (President), 99 Crafts Rd, Brookline, MA 02146 (Physical),Michael C. Kearney (Treasurer), Massachusetts 01909 (Physical)
Agent:
Gary P. Kearney, M.d,319 Longwood Ave, Boston, MA 02115 (Physical)

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