Individual
SONYA M. VAZIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-6050
(617) 421-6083
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 421-2508
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
60693
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016412
NEIGHBORHOOD HEALTH PLAN
MA
01
—
060063675
MEDICARE RAILROAD
MA
01
—
1661466-002
CIGNA
MA
05
—
3106896
—
MA
01
—
763624
TUFTS HEALTH PLAN
MA
01
—
J13512
BLUE CROSS
MA
01
—
PM961
HARVARD PILGRIM
MA
Enumeration date
08/04/2006
Last updated
05/31/2011
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