Individual
DR. KEVAN L HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, 3RD FLOOR, BOSTON, MA 02118-2905
(617) 638-6248
(617) 638-5756
Mailing address
720 HARRISON AVE, DOB-503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
49999
MA
207RX0202X
Medical Oncology Physician
Primary
49999
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110064373A
—
MA
Enumeration date
12/21/2005
Last updated
09/26/2017
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