Individual
DR. KENAN EDWARD HAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, DIVISION OF RESPIRATORY DISEASES, BOSTON, MA 02115-5724
(617) 355-1900
(617) 730-0246
Mailing address
300 LONGWOOD AVE, DIVISION OF RESPIRATORY DISEASES, BOSTON, MA 02115-5724
(617) 355-1900
(617) 730-0246
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
59356
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059356
TUFTS HEALTH PLAN
MA
05
—
110049658A
—
MA
01
—
J10856
BCBS MA
MA
01
—
S400170197
MEDICARE
MA
Enumeration date
10/25/2005
Last updated
11/16/2020
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