Individual
DR. KENNETH CARL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 BINNEY ST, DANA FARBER CANCER INSTITUTE, BOSTON, MA 02115
(617) 632-2144
(617) 632-2140
Mailing address
264 WESTON RD, WELLESLEY, MA 02482-4565
(781) 537-6209
(617) 632-2140
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
45550
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045550
TUFTS
—
01
—
2060918
AETNA
—
01
—
3004142
UNITED HEALTHCARE
—
01
—
40652
FALCON COMMUNITY HEALTH
—
05
—
6190197
—
MA
01
—
8941135
CIGNA
—
01
—
B74115DF
HPGC DFCI ONLY
—
Enumeration date
03/03/2006
Last updated
07/09/2007
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