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NPI Code Detail

MEDICARE: DR. KEVIN DARYL MAJERES MD

MEDICARE: DR. KEVIN DARYL MAJERES 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
12084P0800XPsychiatry PhysicianL5816TX

General Provider Information

NPI Number : 1659333714
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN DARYL MAJERES MD
Provider Business Mailing Address
First Line : 22 HILLIARD ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4972
Country : US
Telephone Number : 857-259-2086
Fax Number : 866-371-3238
Provider Business Practice Location Address
First Line : 22 HILLIARD ST
Second Line :
City : CAMBRIDGE
State : MA
Zip : 02138-4972
Country : US
Telephone Number : 857-259-2086
Fax Number : 866-371-3238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 07/27/2022

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