Individual
DR. JAMES KIMO TAKAYESU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5 EMERSON PLACE, MGH, EMERGENCY ASSOCIATES, BOSTON, MA 02114
(617) 726-5636
(617) 724-0917
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
207P00000X
Emergency Medicine Physician
Primary
216475
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004933
—
MA
01
—
408265
TUFTS HEALTH PLAN
MA
01
—
J26000
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
07/08/2007
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