Individual
SIGMUND J KHARASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 HARRISON AVE, MENINO 1, BOSTON, MA 02118-2905
(617) 414-4991
(617) 414-4999
Mailing address
850 HARRISON AVE, YACC BN-C7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
59854
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
59854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110046209A
—
MA
Enumeration date
10/14/2005
Last updated
11/18/2013
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