Individual
JEFFREY B KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8132
(781) 744-2273
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8132
(781) 744-2273
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56611
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
56611
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110061202A
—
MA
Enumeration date
07/31/2006
Last updated
04/07/2011
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