Individual
EVAN R KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
152 DEAN ST, TAUNTON, MA 02780
(508) 824-3872
(508) 828-4925
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080536
—
MA
01
—
EX5538
MEDICARE PTAN
MA
Enumeration date
07/17/2006
Last updated
03/09/2011
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