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
Fax: (617) 768-8915
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1366433179 NPPES
Massachusetts Other 725099 TUFTS HEALTH PLAN
Massachusetts Other C05334 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0192562 TUFTS HEALTH PLAN

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