Individual
DR. KIRK R DAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
221 LONGWOOD AVE, BOSTON, MA 02115-5804
(617) 732-8060
(617) 738-9122
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
56509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3031446
—
MA
Enumeration date
11/29/2005
Last updated
07/08/2007
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