Provider Demographics
NPI:1215996806
Name:GUINAN, EVA CATHARINA (MD)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:CATHARINA
Last Name:GUINAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BINNEY ST
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE DANA 358
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-632-4932
Mailing Address - Fax:617-632-3770
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-4932
Practice Address - Fax:617-632-2095
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA520972080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
23299OtherFALLON COMMUNITY HEALTH P
052097OtherTUFTS
3011160OtherMASSHEALTH MASSACHUSETTS
7500280OtherUNITED HEALTH CARE
4147801OtherCIGNA
2937817OtherAETNA US HEALTHCARE
E01867DFOtherHPHC DFCI ONLY
4147801OtherCIGNA
7500280OtherUNITED HEALTH CARE
MAJ05580Medicare ID - Type UnspecifiedBLUE CROSS BLUE SHIELD