Individual
FAEZEH SODAGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, AUSTEN BLDG 210, BOSTON, MA 02114
(617) 726-8755
Mailing address
55 FRUIT ST, AUSTEN BLDG 210, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
290953
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2017
Last updated
04/18/2022
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