Individual
ADAM BASEL PISSARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4068
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
284195
MA
Other
Enumeration date
08/25/2016
Last updated
05/19/2025
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