Individual
MARK KIRANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-4728
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP04765
RI
2085R0202X
Diagnostic Radiology Physician
Primary
1016686
MA
Other
Enumeration date
06/28/2019
Last updated
06/25/2024
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