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Individual

DR. JOSEPH C KVEDAR

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 STANIFORD ST, SUITE 200, BOSTON, MA 02114-2517
(617) 726-2914
(617) 724-2135
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
52777
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6179665
MA
01
711334
TUFTS HEALTH PLAN
MA
01
J03392
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
07/08/2007
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