Individual
REZA PISHDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-8720
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-8720
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
1015037
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
03/23/2018
Last updated
06/20/2023
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