Individual
DR. REZA DANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,MSE,MPH
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4330
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-4330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
79035
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3123481
—
MA
Enumeration date
12/06/2005
Last updated
06/05/2013
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