Individual
DR. TAREK HASSAAN MOUHIEDDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-3000
(617) 632-6624
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5418
(617) 632-3000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1023488
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023488
LICENSE
MA
01
—
310698
MEDICAL LICENSE
NY
Enumeration date
03/19/2019
Last updated
10/12/2025
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