Provider Demographics
NPI:1528020518
Name:BOHOSSIAN, HACHO BOHOS (MD)
Entity Type:Individual
Prefix:
First Name:HACHO
Middle Name:BOHOS
Last Name:BOHOSSIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2014 WASHINGTON STREET
Mailing Address - Street 2:HOSPITALIST SUITE
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462
Mailing Address - Country:US
Mailing Address - Phone:617-243-6433
Mailing Address - Fax:617-243-5148
Practice Address - Street 1:2014 WASHINGTON STREET
Practice Address - Street 2:HOSPITALIST SUITE
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462
Practice Address - Country:US
Practice Address - Phone:617-243-6433
Practice Address - Fax:617-243-5148
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA224258208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470296OtherTUFTS
MAAA37217OtherHPHC
MA470296OtherTUFTS
I34976Medicare UPIN