Dawson, Steven Lee
Dawson, Steven Lee is an individual health care provider with primary practice located at 55 Fruit St Ell 2, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Dawson, Steven Lee can be contacted via phone (617) 768-8781.Contact Information
Primary practice address
55 Fruit St Ell 2
Boston MA 02114-2621
Phone: (617) 768-8781
Fax: (617) 768-8915
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 44485 | Massachusetts |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 44485 | Massachusetts |
Profile Details
NPI number | 1366433179 |
---|---|
LBN Legal business name | Dawson, Steven Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 1st, 2005 |
Last updated | Aug 9th, 2012 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366433179 | NPPES |
Massachusetts | Other | 725099 | TUFTS HEALTH PLAN |
Massachusetts | Other | C05334 | TUFTS HEALTH PLAN |
Massachusetts | MEDICAID | 0192562 | TUFTS HEALTH PLAN |
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