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Individual

DR. TATSUO KAWAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD PHD

Contact information

Practice address
55 FRUIT STREET, WHT 510B, BOSTON, MA 02114-2696
(617) 724-9996
(617) 726-3713
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGAIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-0289
(617) 726-9322

Taxonomy

Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
042.0012768
VT
204F00000X
Transplant Surgery Physician
Primary
208430
MA
208600000X
Surgery Physician
208430
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0153851
MA
01
208430
TUFTS HEALTH PLAN
MA
01
J24185
BCBS MA
MA
Enumeration date
07/25/2006
Last updated
09/24/2013
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