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1164413613
KENNETH KENJI TANABE
BOSTON, MA
NPI
1164413613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: MA 78104)
Enumeration Date
2005-11-03
Last Update Date
2012-11-06
Business Address
Dr. KENNETH KENJI TANABE MD
55 FRUIT ST YAW 7B
BOSTON, MA 02114-2621
Phone number: 617-724-3868
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Mailing Address
Dr. KENNETH KENJI TANABE MD
PO BOX 9142
CHARLESTOWN, MA 02129-9142
Phone number: 617-724-0287
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