Individual
WALT A KAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WILLARD ST, QUINCY, MA 02169-1281
(617) 479-1437
(617) 479-3500
Mailing address
10 WILLARD ST, QUINCY, MA 02169-1281
(617) 479-1437
(617) 479-3500
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
45805
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0151505
—
MA
01
—
21722
AETNA US HEALTH
MA
01
—
45805
TUFTS HEALTH CARE
MA
01
—
66033
HARVARD PILGRIM
MA
01
—
B20028501
CIGNA
MA
01
—
B49039
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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