Individual
FARIBA MIRYOUSEFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST FL 6, BRIGHTON, MA 02135-2907
(617) 789-3023
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226868
MA
208M00000X
Hospitalist Physician
226868
MA
Other
Enumeration date
07/07/2006
Last updated
09/23/2025
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