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Organization
SRK MD, LLC
Active
Organization
SRK MD, LLC
Active
Parent organization
STEVEN R. KANNER, MD, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STEVEN R. KANNER, MD, LLC
Authorized official
DR. STEVEN R. KANNER MD (OWNER)
(781) 684-0600
Entity
Organization
Contact information
Practice address
210 BEAR HILL RD STE 304, WALTHAM, MA 02451-1025
(781) 684-0600
(781) 684-0601
Mailing address
12 BYPASS RD, LINCOLN, MA 01773-1202
(781) 259-0222
(781) 259-4050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
209939
MA
Other
Enumeration date
06/25/2017
Last updated
06/25/2017
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