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Individual

PAUL M KANEV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-8373
(860) 545-8233
Mailing address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 545-8373
(860) 545-8233

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
045027
CT
207T00000X
Neurological Surgery Physician
220026
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001450270
CT
05
001450279
CT
Enumeration date
10/12/2006
Last updated
02/25/2008
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