Harissi-Dagher, Mona

Harissi-Dagher, Mona is an individual health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Harissi-Dagher, Mona can be contacted via phone (617) 573-4330.

Contact Information

Primary practice address
243 Charles St Boston MA 02114-3002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 223983 Massachusetts

Profile Details

NPI number 1851364368
LBN Legal business name Harissi-Dagher, Mona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1851364368 NPPES
Massachusetts MEDICAID 2110172

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