Individual
SADEEM QDAISAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CG(ASCP)MB
Contact information
Practice address
75 FRANCIS STREET, COTRAN LAB BLDG, 3RD FLOOR, ROOM 360, BOSTON, MA 02115
(832) 703-4672
Mailing address
75 FRANCIS STREET, COTRAN LAB BLDG 3-360, BOSTON, MA 02115
(832) 703-4672
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
49635
FL
207SG0203X
Clinical Molecular Genetics Physician
Primary
49635
FL
Other
Enumeration date
02/14/2024
Last updated
03/30/2024
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