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Dr. Thomas Paul Kelleher

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NPI Number Detailed Information

Provider Information:

Name: Dr. Thomas Paul Kelleher
Gender: M
Provider License Number If Given: 2037

NPI Information:

NPI: 1578566568
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 230 LAFAYETTE RD STE C
Portsmouth, NH 03801
Phone Number: 6034367325
Fax Number:

Provider Business Practice Location Address:

Address: 230 LAFAYETTE RD STE C
Portsmouth, NH 03801
Phone Number: 6034367325
Fax Number:

Provider Taxonomy:

Primary: 1223G0001X
Secondary (if any):
State: NH