Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | PENDING | MA |
NPI | 1174158109 |
---|---|
Provider Name | Dr. Mohamad Anas Hussain |
First Address | Boston, MA 02115-6106 |
Second Address | Boston, MA 02115-6106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2020 |
Last Update Date | 26/08/2020 |