Individual
MICHAEL JOEL KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
196 PARKWAY SOUTH, SUITE 303, WATERFORD, CT 06385
(860) 443-4455
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
25MA05555900
NJ
207RX0202X
Medical Oncology Physician
Primary
60331
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187617WDM
MEDICARE PROVIDER ID
NJ
Enumeration date
02/06/2006
Last updated
08/02/2018
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