Individual
TANIA HASSANZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 HARRISON AVENUE, STE 1400, BOSTON, MA 02118
(617) 638-8124
(617) 414-4953
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
1014854
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110135568A
—
MA
Enumeration date
05/18/2018
Last updated
05/23/2023
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