Individual
DR. JEREMY ZVI KIEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
239569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001119101
MEDICARE - NATIONAL GOVERNMENT SERVICES
MA
05
—
11083976A
—
MA
Enumeration date
01/12/2008
Last updated
10/07/2016
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