Individual
DR. MICHAEL ALOYSIUS KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 MASSACHUSETTS AVE, MIT MEDICAL DEPARTMENT, CAMBRIDGE, MA 02139-4301
(617) 253-7825
Mailing address
77 MASSACHUSETTS AVE, E23-395, CAMBRIDGE, MA 02139-4301
(617) 253-4988
(617) 253-4988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31534
MA
207RR0500X
Rheumatology Physician
31534
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173126
—
MA
01
—
731470
TUFTS HEALTH PLAN
MA
01
—
B11468
BCBS MA
MA
Enumeration date
11/11/2005
Last updated
04/24/2012
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