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Individual

DR. KENNETH M PARISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1153 CENTRE ST, SUITE 48, BOSTON, MA 02130-3446
(617) 983-4810
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(857) 307-0896

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
040490
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040490
TUFTS HEALTH PLAN
MA
05
2061716
MA
01
25049
HARVARD PILGRIM HEALTH CA
MA
01
B23073
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
09/26/2006
Last updated
05/14/2012
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