| Steven R. Kanner, Md, Llc | |
|
210 Bear Hill Rd Suite 304 Waltham MA 02451-1025 | |
| (781) 684-0600 | |
| (781) 684-0601 |
| Full Name | Steven R. Kanner, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 210 Bear Hill Rd, Waltham, Massachusetts |
| Authorized Official Name and Position | Steven R. Kanner (SOLE MEMBER) |
| Authorized Official Contact | 7816840600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven R. Kanner, Md, Llc 210 Bear Hill Rd Suite 304 Waltham MA 02451-1025 Ph: (781) 684-0600 | Steven R. Kanner, Md, Llc 210 Bear Hill Rd Suite 304 Waltham MA 02451-1025 Ph: (781) 684-0600 |
| NPI Number | 1679603757 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 04/30/2013 |
| Medicare PECOS PAC ID | 7810050911 |
|---|---|
| Medicare Enrollment ID | O20090115000707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679603757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36451 (Massachusetts) | Primary |
| Provider Name | Eve N Sobel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871528935 PECOS PAC ID: 5496722084 Enrollment ID: I20040914000104 |
| Provider Name | Steven R Kanner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740270289 PECOS PAC ID: 2961433248 Enrollment ID: I20050826000068 |
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