Individual
SARA MARIA BAHOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 724-9729
Mailing address
1 NASHUA ST APT 1317, BOSTON, MA 02114-1614
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
282161
MA
Other
Enumeration date
05/05/2015
Last updated
07/01/2020
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