Individual
DR. CHADI TANNOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 4, SUITE B, BOSTON, MA 02118-2526
(617) 414-5633
(617) 414-5226
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
253247
MA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
253247
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110093468A
—
MA
Enumeration date
05/01/2007
Last updated
05/21/2014
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