Kavanah, Maureen T

Kavanah, Maureen T is an individual health care provider with primary practice located at 830 Harrison Ave Moakley Suite 1200, Boston MA 02118-2905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Kavanah, Maureen T can be contacted via phone (617) 638-8655.

Contact Information

Primary practice address
830 Harrison Ave Moakley Suite 1200 Boston MA 02118-2905
Phone: (617) 638-8655
Fax: (617) 638-8653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 44436 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 44436 Massachusetts

Profile Details

NPI number 1033178066
LBN Legal business name Kavanah, Maureen T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 30th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033178066 NPPES
Massachusetts MEDICAID 110003694A

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