Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 215743 | MA |
NPI | 1124019351 |
---|---|
Provider Name | Dr. Ciaran J Mcnamee |
First Address | Shrewsbury, MA 01545-0062 |
Second Address | Boston, MA 02115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2005 |
Last Update Date | 02/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0182401 | (05) | MA |
H69253 | (02) | MA |