Individual
DR. DANIEL SOLOMON KOHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT STREET ELL 3, PEDIATRIC CRITICAL CARE UNIT, BOSTON, MA 02114-2696
(617) 724-4380
(617) 724-4391
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
77883
MA
208000000X
Pediatrics Physician
77883
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
77883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
077883
TUFTS HEALTH PLAN
MA
05
—
3169138
—
MA
01
—
J17903
BCBS MA
MA
Enumeration date
03/20/2006
Last updated
09/01/2015
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