Individual
DR. GREGORY C. KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
(215) 955-5161
(215) 955-6003
Mailing address
834 WALNUT ST, SUITE 650, PHILADELPHIA, PA 19107-5109
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD042219E
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD042219E
PA
207RP1001X
Pulmonary Disease Physician
Primary
MD042219E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285344
—
PA
05
—
6771408
—
NJ
Enumeration date
07/25/2006
Last updated
07/23/2014
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