Individual
DR. TATSUO HIROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770
Mailing address
1 AUTUMN ST, 6TH FLOOR, BOSTON, MA 02215-5301
(617) 632-7777
(617) 632-7770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36115
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
709545
TUFTS HEALTH PLAN
MA
01
—
M08549
BCBS MA
MA
Enumeration date
02/14/2006
Last updated
10/26/2007
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