Individual
AYDEN T SEGURITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
BRIGHAM & WOMENS HOSPITAL, DIVISION OF PLASTIC SURERY 75 FRANCIS ST, BOSTON, MA 02115
(617) 732-6974
Mailing address
BWPO DBA DEPT OF SURGERY ATTN CENTRAL PROVIDER ENROLLME, 111 CYPRESS ST, BROOKLINE, MA 02445
(617) 713-2244
(617) 582-1197
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2098
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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