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NPI Code Detail

MEDICARE: BENJAMIN KANN M.D.

MEDICARE: BENJAMIN KANN M.D.
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
12085R0001XRadiation Oncology Physician280564MA

General Provider Information

NPI Number : 1710390133
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN KANN M.D.
Provider Business Mailing Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-632-5734
Fax Number : 617-394-2667
Provider Business Practice Location Address
First Line : 75 FRANCIS ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-6106
Country : US
Telephone Number : 617-632-5734
Fax Number : 617-394-2667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 12/01/2025

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