Dana, Reza

Dana, Reza is an sole proprietor health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dana, Reza can be contacted via phone (617) 573-4330.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Phone: (617) 573-4330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 79035 Massachusetts

Profile Details

NPI number 1053395723
LBN Legal business name Dana, Reza
Credentials M.D.,MSE,MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Jun 5th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053395723 NPPES
Massachusetts MEDICAID 3123481

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