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Individual

MARYAM HOSSEINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3001 HOSPITAL DR, DEPARTMENT OF MEDICINE , 5TH FLOOR, CHEVERLY, MD 20785-1189
(301) 618-3776
Mailing address
800 WASHINGTON ST # 306, BOSTON, MA 02111-1552
(617) 636-5172
(617) 636-5178

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
291375
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629502703
MD
Enumeration date
04/17/2017
Last updated
01/09/2023
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