Individual
DR. GHADAM TOM BIUCKIANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 MAIN ST, WALTHAM, MA 02451-8533
(781) 893-5447
(781) 894-3037
Mailing address
2014 WASHINGTON ST, GMOB STE 563, NEWTON, MA 02462
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052474
—
MA
Enumeration date
01/26/2006
Last updated
03/03/2016
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