Provider Demographics
NPI:1124019351
Name:MCNAMEE, CIARAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:CIARAN
Middle Name:J
Last Name:MCNAMEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:TURNPIKE STATION
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-0062
Mailing Address - Country:US
Mailing Address - Phone:508-334-8815
Mailing Address - Fax:508-334-5374
Practice Address - Street 1:75 FRANCIS STREET, PBB5, ROOM 547
Practice Address - Street 2:DIV. OF THORACIC SURGERY
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-7696
Practice Address - Fax:617-730-2853
Is Sole Proprietor?:No
Enumeration Date:2005-11-05
Last Update Date:2014-10-02
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Provider Licenses
StateLicense IDTaxonomies
MA215743208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0182401Medicaid
MAMC A34588Medicare ID - Type Unspecified
MAH69253Medicare UPIN