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NPI Code Detail

MEDICARE: KEIRA MASON MD

MEDICARE:   KEIRA  MASON  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207LP3000XPediatric Anesthesiology Physician82061MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598744799
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEIRA MASON MD
Provider Business Mailing Address
First Line : 300 LONGWOOD AVE
Second Line : DEPT OF ANESTHESIA
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-562-5413
Fax Number : 617-562-5415
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line : DEPTARTMENT OF ANESTHESIA
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-789-2782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 10/06/2025

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