Individual
KALOYAN S TANEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WARREN 1220, BOSTON, MA 02114-2621
(617) 726-7511
(617) 724-9155
Mailing address
55 FRUIT ST, WARREN 1220, BOSTON, MA 02114-2621
(617) 726-7511
(617) 724-9155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
235195
MA
Other
Enumeration date
07/01/2005
Last updated
10/08/2010
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