Individual provider · Type 1 NPI

Mark David Kettler, MD

Diagnostic Radiology Physician · Boston, MA

NPI number 1790790202 Active

Practice location

820 Harrison Ave, Building FGH-3 Room 203
Boston, MA 02118

Call (617) 638-6610 Map

Fax (617) 638-6616

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD15140 (OR)
Diagnostic Radiology Physician 2085R0202X234438 (MA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1790790202

Mark David Kettler, MD's National Provider Identifier is 1790790202, issued on Jul 31, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boston, MA. The record was last updated on Jan 31, 2008.