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Individual

DR. EUGENE Y. KISSIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
725 ALBANY STREET, SUITE 8A, SHAPIRO BLDG, BOSTON, MA 02118-2526
(617) 638-7460
(617) 638-7454
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205613
MA
207RR0500X
Rheumatology Physician
Primary
205613
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110004735A
MA
05
3123491
NH
Enumeration date
06/20/2006
Last updated
10/06/2023
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