Individual
HASAN MAHBUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 632-7828
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 632-7828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295359
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
06/04/2024
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