Individual
DR. GENA HEIDARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE # FEGAN4, DEPARTMENT OF OPHTHALMOLOGY CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-6401
Mailing address
300 LONGWOOD AVE # FEGAN4, DEPARTMENT OF OPHTHALMOLOGY CHILDREN'S HOSPITAL BOSTON, BOSTON, MA 02115-5724
(617) 355-6401
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
224710
MA
Other
Enumeration date
01/05/2007
Last updated
02/09/2009
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