Individual ProviderDaniel KelleherGeneral Acute Care HospitalHospitalsPractice Address55 Fruit St, Boston, MA 02114-2621(617) 726-3023(508) 243-1685PECOS EnrollmentBased on the most recent information from CMS, provider Daniel Kelleher does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 15 days ago.Profile DetailsProvider ID1932524543Provider TypeIndividualFull NameKelleher, DanielCredentialDPTGenderMaleSole ProprietorYesEnumeration Date2/19/2014Last Updated2/19/2014Contact InformationPractice LocationPractice Address55 Fruit St, Boston, MA 02114-2621Phone(617) 726-3023FaxUnlisted FaxMailing LocationMailing Address53 Cotton Ave, Braintree, MA 02184-2207Phone(508) 243-1685FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode282N00000XPrimaryDescriptionGeneral Acute Care HospitalHospitalsLicense20987Massachusetts