Provider Demographics
NPI:1568424042
Name:KAMINER, MICHAEL SETH (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:SETH
Last Name:KAMINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1244 BOYLSTON ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2116
Mailing Address - Country:US
Mailing Address - Phone:617-731-1600
Mailing Address - Fax:617-731-1601
Practice Address - Street 1:1244 BOYLSTON ST
Practice Address - Street 2:SUITE 302
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-2116
Practice Address - Country:US
Practice Address - Phone:617-731-1600
Practice Address - Fax:617-731-1601
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76139207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0304452OtherUNITED
F80466BIOtherHPHC
MAJ30566OtherBLUE SHIELD
0001744OtherNHP
010139OtherONE HEALTH
2856534003OtherCIGNA
076139OtherTUFTS
2645630OtherAETNA
2856534003OtherCIGNA
076139OtherTUFTS