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Provider Information for 1457310393

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DANIEL SOLOMON KOHANE MD PHD

Gender: MALE

Individual NPI: 1457310393

Calendar   Last Updated:  2015-09-01
  Certification Date: 

Details

Name Value
NPI 1457310393
Enumeration Date 2006-03-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 9142 MASS GENERAL PHYSICIAN ORGANIZATION
CHARLESTOWN, MA 02129-9142
United States

Phone: 617-724-0287 | Fax: 617-726-2894
View Map External Link
Primary Practice Address 55 FRUIT STREET ELL 3 PEDIATRIC CRITICAL CARE UNIT
BOSTON, MA 02114-2696
United States

Phone: 617-724-4380 | Fax: 617-724-4391
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other TUFTS HEALTH PLAN MA 077883
Other BCBS MA MA J17903
MEDICAID MA 3169138
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0203X - Pediatrics Pediatric Critical Care Medicine MA 77883
No 207L00000X - Anesthesiology MA 77883
No 208000000X - Pediatrics MA 77883