Individual
MOTAHARSADAT HOSSEINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3726
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-3726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
P28025
MD
2086S0129X
Vascular Surgery Physician
Primary
1015861
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
67209
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110202522A
—
MA
Enumeration date
08/29/2012
Last updated
12/10/2024
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