Kieran, Mark William

Kieran, Mark William is an individual health care provider with primary practice located at 44 Binney St Room Sw331, Boston MA 02115-6013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Kieran, Mark William can be contacted via phone (617) 632-4907.

Contact Information

Primary practice address
44 Binney St Room Sw331 Boston MA 02115-6013
Fax: (617) 632-4897
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 76146 Massachusetts

Profile Details

NPI number 1790747236
LBN Legal business name Kieran, Mark William
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 14th, 2007 - about 18 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 1790747236 NPPES
Other 8545845 CIGNA
Other 076146 CIGNA
Other 2929111 CIGNA
Other F33356DF CIGNA
Other 23303 CIGNA
Other 000000026066 CIGNA
Other 3138950 CIGNA
Other 7505047 CIGNA
Other 370013224 CIGNA
Other J31260 CIGNA

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