Poor, Hooshang
Poor, Hooshang is an sole proprietor health care provider with primary practice located at 22 Liberty Dr Unit 6F , Boston MA 02210-1325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Poor, Hooshang can be contacted via phone (617) 244-1669.Contact Information
Primary practice address
22 Liberty Dr Unit 6F
Boston MA 02210-1325
Phone: (617) 244-1669
Fax: (617) 244-1669
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 50091 | Massachusetts |
Profile Details
| NPI number | 1225002603 |
|---|---|
| LBN Legal business name | Poor, Hooshang |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Nov 2nd, 2022 - about 2 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 | 1225002603 | NPPES |
| Massachusetts | MEDICAID | 6191177 |
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