Individual
AISHA SARAH TRAISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114
(617) 523-7900
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 523-7900
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
239228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19FWD
BCBS
NC
01
—
NC0954A
MEDICARE
NC
05
—
NC2515
—
SC
01
—
P01671677
RAILROAD MEDICARE
NC
Enumeration date
12/20/2006
Last updated
07/03/2018
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