Individual
JOHN KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-9793
Mailing address
91 STILES RD, ATTN: SHARON SILVA, SALEM, NH 03079-5804
(603) 890-4404
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2025892
—
MA
01
—
99342101
NETWORK HEALTH
MA
05
—
JK03672
—
RI
Enumeration date
03/27/2006
Last updated
01/22/2010
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