Individual
VASKEN M KROSHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
818 HARRISON AVE-ACC-3, BCH-BOSTON MED CENTER, ROXBURY, MA 02118
(617) 414-4374
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
78243
MA
207RN0300X
Nephrology Physician
Primary
78243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110053691A
—
MA
Enumeration date
05/25/2006
Last updated
03/11/2024
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