Individual
DR. DEEBA HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
243 CHARLES ST, 12TH FLOOR, BOSTON, MA 02114-3002
(671) 573-4074
(617) 573-3631
Mailing address
243 CHARLES STREET, RETINA SERVICE, MEEI, BOSTON, MA 02114-3096
(617) 573-4074
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
203366
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141607
—
MA
01
—
154569
HARVARD PILGRIM HEALTH CA
MA
01
—
203366
TUFTS HEALTH PLAN
MA
01
—
3247046
AETNA
MA
01
—
J23838
BCBS
MA
Enumeration date
09/27/2005
Last updated
05/10/2013
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