Rastegar, Joan K

Rastegar, Joan K is an individual health care provider with primary practice located at 2014 Washington St Newton Wellesley Radiology Associates, Newton MA 02462. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Rastegar, Joan K can be contacted via phone (617) 243-6600.

Contact Information

Primary practice address
2014 Washington St Newton Wellesley Radiology Associates Newton MA 02462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 81277 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 81277 Massachusetts

Profile Details

NPI number 1467430256
LBN Legal business name Rastegar, Joan K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Sep 28th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467430256 NPPES
Massachusetts Other J18427 BCBS
Massachusetts MEDICAID 3171400 BCBS

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