Individual
ASHLEY BOUSTANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
110 FRANCIS ST STE 5A, BOSTON, MA 02215-5566
(617) 632-7827
Mailing address
110 FRANCIS ST STE 5A, BOSTON, MA 02215-5566
(617) 632-7827
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
NOT YET ISSUED
KY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
282059
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
R3419
KY
Other
Enumeration date
06/24/2014
Last updated
04/29/2021
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