Individual
MARK WILLIAM KIERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
44 BINNEY ST, ROOM SW331, BOSTON, MA 02115-6013
(617) 632-4907
(617) 632-4897
Mailing address
44 BINNEY ST, ROOM SW331, BOSTON, MA 02115-6013
(617) 632-4907
(617) 632-4897
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
76146
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026066
BMC HEALTHNET
—
01
—
076146
TUFTS
—
01
—
23303
FALLON COMMUNITY HEALTH
—
01
—
2929111
AETNA US HEALTHCARE
—
01
—
3138950
MASSHEALTH
—
01
—
370013224
RR MEDICARE BINNEY MED
—
01
—
7505047
UNITED HEALTH CARE
—
01
—
8545845
CIGNA
—
01
—
F33356DF
HPHC DFCI ONLY
—
01
—
J31260
MA BCBS
—
Enumeration date
04/03/2006
Last updated
08/14/2007
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