Individual
DR. THOMAS BERNARD KINANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 CAMBRIDGE ST, STE 530, MASS GENERAL HOSPITAL FOR CHILDREN, BOSTON, MA 02114
(617) 726-8707
(617) 724-2803
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 726-8707
(617) 724-2803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
73312
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
73312
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074048
—
MA
01
—
724771
TUFTS HEALTH PLAN
MA
01
—
J12563
BCBS MA
MA
Enumeration date
10/24/2005
Last updated
05/15/2012
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