Individual
KIRTIKANT P KANTESARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 284-5400
(413) 284-5114
Mailing address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 283-7651
(413) 284-5117
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
48473
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048473
TUFTS COMMUNITY HEALTH PL
—
01
—
1000252
UNITED HEALTHCARE
—
01
—
10035501
CIGNA
—
01
—
1428
FALLON COMMUNITY HEALTH P
—
01
—
19528
HARVARD PILGRIM
—
01
—
4390336
HEALTHSOURCE CMHC
—
05
—
9748284
—
MS
01
—
984960
NETWORK HEALTH
—
01
—
N01963
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/15/2006
Last updated
07/08/2007
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