Individual
PEDRAM HEIDARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST # 427, BOSTON, MA 02114-2621
(617) 724-4255
Mailing address
55 FRUIT ST, WHITE 427, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
269073
MA
Other
Enumeration date
06/20/2013
Last updated
03/17/2018
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