Individual
DR. FARGOL BOOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3532
Mailing address
9 BROADWAY, STONEHAM, MA 02180-1025
(617) 455-2048
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
242086
MA
2085R0202X
Diagnostic Radiology Physician
35.140888
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0426997
—
OH
Enumeration date
03/14/2009
Last updated
03/23/2021
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