Individual
OMAR HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1101 BEACON ST STE 1W, BROOKLINE, MA 02446-5587
(617) 855-7288
(844) 733-6150
Mailing address
1101 BEACON ST, SUITE 1W, BROOKLINE, MA 02446-5587
(617) 855-7288
(844) 733-6150
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
269936
MA
2084P0800X
Psychiatry Physician
LP02933
RI
Other
Enumeration date
06/05/2013
Last updated
08/25/2017
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