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Individual
DR. KEVIN MAGUIRE
Active
Individual
DR. KEVIN MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
036291
CT
208200000X
Plastic Surgery Physician
75409
MA
208200000X
Plastic Surgery Physician
9401
RI
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
036291
CT
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
9401
RI
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
036291
CT
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
9401
RI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
042.0013287
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010036291CT01
ANTHEM OF CT FEDERAL ID #
CT
01
—
010075409RI01
ANTHEM BC OF CT ID #
CT
01
—
061485169
TAX IDENTIFICATION NUMBER
—
01
—
20437-6
BCBS OF RI ID #
RI
01
—
401029
BCBCHIP OF RI ID #
RI
01
—
RI0846
HEALTHNET-NONPAR ID #
RI
Enumeration date
09/20/2006
Last updated
03/01/2016
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