Healthcare Provider Details

I. General information

NPI: 1255062675
Provider Name (Legal Business Name): COLIN PATRICK FLANNELLY MD, MSC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 ALBANY ST STE 9B
BOSTON MA
02118-3549
US

IV. Provider business mailing address

725 ALBANY ST 9TH FLOOR, SUITE 9B
BOSTON MA
02118-3549
US

V. Phone/Fax

Practice location:
  • Phone: 617-638-7480
  • Fax:
Mailing address:
  • Phone: 617-638-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number125.080829
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: