Provider Demographics
NPI:1861529216
Name:MCGRATH, KERRI PALAMARA (MD)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:PALAMARA
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KERRI
Other - Middle Name:L
Other - Last Name:PALAMARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:BULFINCH MEDICAL GROUP, WANG 535
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-724-6610
Mailing Address - Fax:617-724-6282
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BULFINCH MEDICAL GROUP, WANG 535
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-6610
Practice Address - Fax:617-724-6282
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-228455207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0010819Medicare PIN