Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 238833 | MA |
N | 208000000X | Pediatrician | 238833 | MA |
NPI | 1104065531 |
---|---|
Provider Name | Cyril Sahyoun |
First Address | Boston, MA 02116-2524 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2009 |
Last Update Date | 04/02/2011 |