Individual
DR. DAN VLAD IOSIFESCU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, WRN 6, BOSTON, MA 02114-2696
(617) 724-6300
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
158303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158303
TUFTS HEALTH PLAN
MA
05
—
3207447
—
MA
01
—
J22210
BCBS MA
MA
Enumeration date
11/09/2005
Last updated
07/08/2007
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