Provider Demographics
NPI:1639150394
Name:SROUJI, SERENE SAMIR (MD)
Entity Type:Individual
Prefix:DR
First Name:SERENE
Middle Name:SAMIR
Last Name:SROUJI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Mailing Address - Street 2:75 FRANCIS STREET ASB1
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-4648
Mailing Address - Fax:617-975-0870
Practice Address - Street 1:DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
Practice Address - Street 2:75 FRANCIS STREET ASB1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-4648
Practice Address - Fax:617-975-0870
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2012-06-22
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Provider Licenses
StateLicense IDTaxonomies
MA217592207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology