Provider Demographics
NPI:1992712178
Name:JANNE, PASI ANTERO (MD PHD)
Entity type:Individual
Prefix:
First Name:PASI ANTERO
Middle Name:
Last Name:JANNE
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:450 BROOKLINE AVE
Mailing Address - Street 2:DANA FARBER CANCER INSTITUTE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5418
Mailing Address - Country:US
Mailing Address - Phone:617-632-6049
Mailing Address - Fax:617-632-5786
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
Practice Address - Country:US
Practice Address - Phone:617-632-6049
Practice Address - Fax:617-632-5786
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA157015207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2555962OtherAETNA US HEALTHCARE
3004709OtherUNITED HEALTH CARE
3183432OtherMASSHEALTH
5614733OtherCIGNA
J19813OtherBLUE CROSS BLUE SHIELD OF
14723DFOtherHPHC
413299OtherTUFTS
63374OtherFALLON COMMUNITY HEALTH P
14723DFOtherHPHC
A28418Medicare ID - Type Unspecified