Provider Demographics
NPI:1184680860
Name:LAHAM, ROGER J (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:J
Last Name:LAHAM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:330 BROOKLINE AVE
Mailing Address - Street 2:BIDMC
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5400
Mailing Address - Country:US
Mailing Address - Phone:617-667-8800
Mailing Address - Fax:617-975-5201
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:BIDMC
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-632-9204
Practice Address - Fax:617-975-5201
Is Sole Proprietor?:No
Enumeration Date:2006-04-21
Last Update Date:2017-03-15
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Provider Licenses
StateLicense IDTaxonomies
MA75622207RC0000X, 207RI0011X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease