Provider Demographics
NPI:1023006772
Name:SOLOMON, HAROLD STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:STEPHEN
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25 BOYLSTON ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-1715
Mailing Address - Country:US
Mailing Address - Phone:617-731-7774
Mailing Address - Fax:617-731-4534
Practice Address - Street 1:25 BOYLSTON ST
Practice Address - Street 2:SUITE 308
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467-1715
Practice Address - Country:US
Practice Address - Phone:617-731-7774
Practice Address - Fax:617-731-4534
Is Sole Proprietor?:No
Enumeration Date:2005-10-06
Last Update Date:2008-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA31851207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM07648OtherBLUE SHIELD
MA441323OtherUNITED HEALTHCARE
MA2001667Medicaid
MA4336065OtherAETNA
MA705722OtherTUFTS
MAB10087301OtherCIGNA
MA477582OtherUS/HEALTHCARE OFFICE
MA441323OtherUNITED HEALTHCARE
MAB75618Medicare UPIN