Individual
DR. REZA HABIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, MGH DEPARTMENT OF RADIOLOGY, FND 216, BOSTON, MA 02114-2621
(415) 999-5240
Mailing address
55 FRUIT ST, MGH DEPARTMENT OF RADIOLOGY, FND 216, BOSTON, MA 02114-2621
(415) 999-5240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
250358
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2011
Last updated
11/22/2021
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